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Contact Information

SEACOAST FOOT SURGERY ASSOC
330 BORTHWICK AVENUE
SUITE 112
PORTSMOUTH, NH03801
 Phone: 603-430-8505
 Fax: 603-436-8381
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for SEACOAST FOOT SURGERY ASSOC · (Female)

NPI # 1174600217
Status Active
Credentials
Entity Individual
Enumeration date 11/01/2006
Last updated 01/06/2011 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • ME License # POD212
  • NH License # 0183
  • NH Medicaid 40368267
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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