# APPLEDORE MEDICAL GROUP II INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Coastal Cardiothoracic and Vascular Assoc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881683415
- **Authorized official:** WILLIAM T JOHNSON (VICE PRESIDENT)
- **Authorized official phone:** (804) 237-7760

## Contact information

- **Practice address:** 333 BORTHWICK AVE, SUITE 402, PORTSMOUTH, NH 03801-7128
- **Practice address phone:** (603) 559-4111
- **Practice address fax:** (603) 559-4110
- **Mailing address:** 333 BORTHWICK AVE, SUITE 402, PORTSMOUTH, NH 03801-7128
- **Mailing address phone:** (603) 559-4111
- **Mailing address fax:** (603) 559-4110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | NULL | Yes |
| 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/17/2005
- **Last updated:** 04/30/2009