Organization
PISCATAQUA PLASTIC SURGERY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES J GAUDET M.D. (PRESIDENT)
(603) 431-5488
Entity
Organization
Contact information
Practice address
330 BORTHWICK AVE, STE 206, PORTSMOUTH, NH 03801-4174
(603) 431-5488
(603) 431-4680
Mailing address
340 MAIN ST, STE 670, WORCESTER, MA 01608-1604
(508) 754-3566
(508) 798-8012
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
—
HI
Other
Enumeration date
07/14/2005
Last updated
07/21/2022
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