GRANITE STATE PODIATRY ASSOCIATES PA; NPI #1629272695

Contact Information

GRANITE STATE PODIATRY ASSOCIATES PA

424 HANOVER STREET
MANCHESTER, NH 03104

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

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NPI Profile & details for GRANITE STATE PODIATRY ASSOCIATES PA

NPI Number 1629272695

LBN Legal business name GRANITE STATE PODIATRY ASSOCIATES PA

Authorized official ELLEN YUSE - (OFFICE MANAGER)

Entity Organization

Organization subpart ¹ No

Enumeration date 06/13/2007

Last updated 05/19/2008 - About 18 years ago

Identifiers

License #

0139

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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GRANITE STATE PODIATRY ASSOCIATES PA

Contact Information

Specialty

Surgery, Foot & Ankle

Durable Medical Equipment & Medical Supplies

NPI Profile & details for GRANITE STATE PODIATRY ASSOCIATES PA

Reviews for GRANITE STATE PODIATRY ASSOCIATES PA