Seacoast Foot Surgery Assoc
NPI #1174600217 in Portsmouth, New Hampshire
Provider Information
- NPI Number
- 1174600217
- Entity Type
- Organization
- Organization Name
- Seacoast Foot Surgery Assoc
- Primary Specialty
- Podiatrist
- Enumeration Date
- Nov 1, 2006
- Last Updated
- Jan 6, 2011
Practice Location
- Address
- 330 BORTHWICK AVENUE
- Address 2
- SUITE 112
- City
- Portsmouth
- State
- New Hampshire
- ZIP Code
- 03801
- Phone
- (603) 430-8505
Authorized Official
- Name
- ROXANNE RAESIDE WILTON, CAPPM EFPM CPODCS
- Title
- PRACTICE ADMINISTRATOR
- Phone
- (603) 430-8505
Specialties & Taxonomy Codes
| Specialty |
|---|
| Podiatrist |
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