NPI 1902313331 · live from the CMS NPI Registry
Ezra Bashaw
Physician Assistant, Surgical in Exeter, NH. National Provider Identifier 1902313331, active.
NPI record
| NPI | 1902313331 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant, Surgical 363AS0400X |
| Practice location | 7 Alumni Dr, Exeter, NH 03833 |
| Practice phone | 603-777-1000 |
| Mailing address | 4 Alumni Dr, Exeter, NH 03833 |
| Enumerated | January 8, 2018 |
| Last updated | October 16, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant, Surgical primary | 363AS0400X | 1773 (NH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.