MOUSAM VALLEY PODIATRY, P.A.; NPI #1942309737

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, P.A.

NPI # 1942309737

LBN Legal business name MOUSAM VALLEY PODIATRY, P.A.

Authorized official SCOTT GERRY - (PRESIDENT/PODIATRIST)

Entity Organization

Organization subpart ¹ No

Enumeration date 09/21/2006

Last updated 10/21/2015 - About 11 years ago

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

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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MOUSAM VALLEY PODIATRY, P.A.

Contact Information

Specialty

Surgery, Foot & Ankle

NPI Profile & details for MOUSAM VALLEY PODIATRY, P.A.

Reviews for MOUSAM VALLEY PODIATRY, P.A.