OrganizationActive
Elyside LLC
NPI 1548058068 · Public Health & General Preventive Medicine Physician · Bedford, NH
Provider details
- NPI number
- 1548058068
- Entity type
- Organization
- Primary specialty
- Public Health & General Preventive Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Jason Bowles, Manager(603) 506-6678
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
15 Constitution Dr Ste 154
Bedford, NH 03110-6042
Phone: (603) 506-6678
Approximate (ZIP-level) locationGet directions
Mailing address
51 S Broadway Unit 749
Salem, NH 03079-7629
Registry dates
- Enumerated
- 2025-04-25
- Last updated
- 2025-04-28
- Certified
- 2025-04-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.