NPI 1417510637 · live from the CMS NPI Registry
From The Ground Up Podiatry
Podiatrist in Stratham, NH. National Provider Identifier 1417510637, active.
NPI record
| NPI | 1417510637 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 72 Portsmouth Ave, Stratham, NH 03885 |
| Practice phone | 603-502-4216 |
| Mailing address | 21 Lincoln St, Exeter, NH 03833 |
| Enumerated | April 15, 2019 |
| Last updated | July 19, 2019 |
| Authorized official | James Dolan, Owner, Authorized Official |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.