Organization
ATLANTIC PLASTIC SURGERY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAWRENCE N. GRAY M.D. (MEDICAL DIRECTOR)
(603) 431-8819
Entity
Organization
Contact information
Practice address
100 GRIFFIN RD, SUITE B, PORTSMOUTH, NH 03801-7113
(603) 431-8819
(603) 427-2540
Mailing address
100 GRIFFIN RD, SUITE B, PORTSMOUTH, NH 03801-7113
(603) 431-8819
(603) 427-2540
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
02579
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000686
—
NH
Enumeration date
04/12/2007
Last updated
02/03/2012
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