Ear Nose & Throat Medicine & Surgery of Portsmouth PA

NPI #1720208820 in Portsmouth, New Hampshire

Provider Information

NPI Number: 1720208820
Entity Type: Organization
Organization Name: Ear Nose & Throat Medicine & Surgery of Portsmouth PA
Primary Specialty: Otolaryngology
Enumeration Date: Apr 30, 2007
Last Updated: Nov 29, 2012

Practice Location

Address: 330 BORTHWICK AVE
Address 2: SUITE 304
City: Portsmouth
State: New Hampshire
ZIP Code: 03801-7109
Phone: (603) 431-3477

Authorized Official

Name: DR. EDMOND Y YEGANEH, MD
Title: OWNER/OFFICER
Phone: (603) 431-3477

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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