# EAR NOSE & THROAT MEDICINE & SURGERY OF PORTSMOUTH PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1720208820
- **Authorized official:** DR. EDMOND Y YEGANEH MD (OWNER/OFFICER)
- **Authorized official phone:** (603) 431-3477

## Contact information

- **Practice address:** 330 BORTHWICK AVE, SUITE 304, PORTSMOUTH, NH 03801-7109
- **Practice address phone:** (603) 431-3477
- **Practice address fax:** (603) 430-9663
- **Mailing address:** 330 BORTHWICK AVE, SUITE 304, PORTSMOUTH, NH 03801-7109
- **Mailing address phone:** (603) 431-3477
- **Mailing address fax:** (603) 430-9663

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Y00000X | Otolaryngology Physician | NH5840 | NH | Yes |

## Other

- **Enumeration date:** 04/30/2007
- **Last updated:** 11/29/2012