NPI 1174600217 · live from the CMS NPI Registry
Seacoast Foot Surgery Assoc
Podiatrist in Portsmouth, NH. National Provider Identifier 1174600217, active.
NPI record
| NPI | 1174600217 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 330 Borthwick Avenue, Suite 112, Portsmouth, NH 03801 |
| Practice phone | 603-430-8505 |
| Enumerated | November 1, 2006 |
| Last updated | January 6, 2011 |
| Authorized official | Roxanne Raeside Wilton, Practice Administrator |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist | 213E00000X | POD212 (ME) |
| Podiatrist primary | 213E00000X | 0183 (NH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.