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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

NPI # 1174600217
LBN Legal business name SEACOAST FOOT SURGERY ASSOC
Authorized official ROXANNE RAESIDE WILTON - (PRACTICE ADMINISTRATOR)
Entity Organization
Organization subpart 1 No
Enumeration date 11/01/2006
Last updated 01/06/2011 - About 15 years ago
Identifiers
ME License # POD212
NH License # 0183
NH Medicaid 40368267
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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