Organization
NEW HAMPSHIRE NEUROSPINE INSTITUTE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY WADDINGTON (EXECUTIVE DIRECTOR)
(603) 472-8888
Entity
Organization
Contact information
Practice address
4 HAWTHORNE DR, BEDFORD, NH 03110-6912
(603) 472-8888
(603) 472-9090
Mailing address
4 HAWTHORNE DR, BEDFORD, NH 03110-6912
(603) 472-8888
(603) 472-9090
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
—
—
208100000X
Physical Medicine & Rehabilitation Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
225100000X
Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
2471M1202X
Magnetic Resonance Imaging Radiologic Technologist
—
—
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30007561
—
NH
05
—
3073795
—
NH
01
—
CJ8612
RAILROAD MEDICARE
—
Enumeration date
08/17/2006
Last updated
04/24/2024
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