Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

State of New Hampshire

Organization Developmental - Behavioral Pediatrics Physician · NPI 1962203596

State of New Hampshire is a Developmental - Behavioral Pediatrics Physician in Manchester, New Hampshire. Registered with an NPI since 2025.

In the registry since
2025

Practice location Address checks out

1056 River Rd
Manchester, NH 03104-1958
Phone: (603) 665-1580
Fax: (603) 668-4143
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental - Behavioral Pediatrics Physician (primary) Taxonomy 2080P0006X

Record details

NPI number1962203596
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationState of New Hampshire
Authorized official Magdelina Vasquez — Nursing Coordinator · (603) 665-1580
Other names Sununu Youth Service Center
NPI enumeratedMarch 20, 2025
Last updated in NPPESMarch 20, 2025
Certification dateMarch 20, 2025
Mailing address1056 River Rd, Manchester, NH 03104-1958

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