NPI 1669490793 · live from the CMS NPI Registry
Jonathan P Pattavina, D.P.M.
Podiatrist in Keene, NH. National Provider Identifier 1669490793, active.
NPI record
| NPI | 1669490793 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Podiatrist 213E00000X |
| Practice location | 61 Summer St, Keene, NH 03431 |
| Practice phone | 603-352-2944 |
| Enumerated | July 17, 2006 |
| Last updated | October 8, 2009 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Podiatrist primary | 213E00000X | 0263 (NH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.