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Contact Information

GRANITE STATE PODIATRY ASSOCIATES PA
424 HANOVER STREET
MANCHESTER, NH03104
 Phone: 603-668-3509
 Fax: 603-641-8442
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery, Foot & Ankle

213ES0103X 48 Podiatry
 

Durable Medical Equipment & Medical Supplies

332B00000X 54 Other Medical Supply Company
Indicates primary specialty

NPI Profile & details for GRANITE STATE PODIATRY ASSOCIATES PA · (Female)

NPI # 1629272695
Status Active
Credentials
Entity Individual
Enumeration date 06/13/2007
Last updated 05/19/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • NH License # 0139
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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