# PEDIATRIC ASSOCIATES OF HAMPTON & PORTSMOUTH PC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104085638
- **Authorized official:** MR. WAYNE L LORD (MANAGER)
- **Authorized official phone:** (603) 436-7171

## Contact information

- **Practice address:** 330 BORTHWICK AVE, SUITE 202, PORTSMOUTH, NH 03801-4174
- **Practice address phone:** (603) 436-7171
- **Mailing address:** 330 BORTHWICK AVE, PORTSMOUTH, NH 03801-4174

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | NULL | Yes |
| 2080A0000X | Pediatric Adolescent Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/09/2008
- **Last updated:** 06/09/2008