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Organization
DR SULS FAMILY & SPORTS MEDICINE
Active
Organization
DR SULS FAMILY & SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD LEE SULS M.D. (OWNER)
(603) 622-2112
Entity
Organization
Contact information
Practice address
20 WASHINGTON PL STE 3, BEDFORD, NH 03110-6743
(603) 622-2112
(603) 624-1570
Mailing address
20 WASHINGTON PL STE 3, BEDFORD, NH 03110-6743
(603) 622-2112
(603) 624-1570
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
9753
NH
2081S0010X
Sports Medicine (Physical Medicine & Rehabilitation) Physician
9753
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2567744
OXFORD
NH
05
—
30211159
—
NH
01
—
55970
CIGNS VENDER #
NH
01
—
CK3214
RR MEDICARE
NH
01
—
M17742
BCBS OF MASSACHUSETTS
NH
Enumeration date
06/15/2005
Last updated
06/27/2019
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