# DR SULS FAMILY & SPORTS MEDICINE

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

## Provider details

- **NPI number:** 1851396006
- **Authorized official:** DR. HOWARD LEE SULS M.D. (OWNER)
- **Authorized official phone:** (603) 622-2112

## Contact information

- **Practice address:** 20 WASHINGTON PL STE 3, BEDFORD, NH 03110-6743
- **Practice address phone:** (603) 622-2112
- **Practice address fax:** (603) 624-1570
- **Mailing address:** 20 WASHINGTON PL STE 3, BEDFORD, NH 03110-6743
- **Mailing address phone:** (603) 622-2112
- **Mailing address fax:** (603) 624-1570

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 9753 | NH | Yes |
| 2081S0010X | Sports Medicine (Physical Medicine & Rehabilitation) Physician | 9753 | NH | — |

## Other

- **Enumeration date:** 06/15/2005
- **Last updated:** 06/27/2019

## 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 |