Organization
PEDIATRIC ASSOCIATES OF HAMPTON & PORTSMOUTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAYNE L LORD (MANAGER)
(603) 436-7171
Entity
Organization
Contact information
Practice address
330 BORTHWICK AVE, SUITE 202, PORTSMOUTH, NH 03801-4174
(603) 436-7171
Mailing address
330 BORTHWICK AVE, PORTSMOUTH, NH 03801-4174
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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