MOUSAM VALLEY PODIATRY PA, Surgery, Foot & Ankle ROCHESTER, NH

Contact Information

MOUSAM VALLEY PODIATRY, P.A.

21 WHITEHALL RD
SUITE #302
ROCHESTER, NH 03867-3236

Phone: 603-994-7633
Fax: 603-994-7648
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Surgery, Foot & Ankle	213ES0103X	48	Podiatry

Indicates primary specialty

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NPI Profile & details for MOUSAM VALLEY PODIATRY PA · (Female)

NPI Number	`1942309737`
Status	Active
Credentials
Entity	Individual
Enumeration date	09/21/2006
Last updated	10/21/2015 - About 11 years ago
Sole proprietor ¹	Not specified
Identifiers	NH License # 0193 ME Medicaid 195460000 NH Medicaid 3089587 ME Other 037709 ANTHEM ME Other 1942309737 GROUP NPI # ME Other 1760487441 INDIVIDUAL NPI # NH Other 1760487441 INDIVIDUAL NPI NH Other 1942309737 NPI GROUP
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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MOUSAM VALLEY PODIATRY PASurgery, Foot & Ankle

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for MOUSAM VALLEY PODIATRY PA · (Female)

Reviews for MOUSAM VALLEY PODIATRY, P.A.

MOUSAM VALLEY PODIATRY PA
Surgery, Foot & Ankle