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Contact Information

EAR NOSE & THROAT MEDICINE & SURGERY OF PORTSMOUTH PA
330 BORTHWICK AVE
SUITE 304
PORTSMOUTH, NH03801-7109
 Phone: 603-431-3477
 Fax: 603-430-9663
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for EAR NOSE THROAT MEDICINE SURGERY OF PORTSMOUTH PA · (Female)

NPI # 1720208820
Status Active
Credentials
Entity Individual
Enumeration date 04/30/2007
Last updated 11/29/2012 - About 14 years ago
Sole proprietor 1 Not specified
Identifiers
  • NH License # NH5840
  • NH Medicaid 30010589
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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