Organization
SEACOAST FOOT SURGERY ASSOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANNE RAESIDE WILTON CAPPM EFPM CPODCS (PRACTICE ADMINISTRATOR)
(603) 430-8505
Entity
Organization
Contact information
Practice address
330 BORTHWICK AVENUE, SUITE 112, PORTSMOUTH, NH 03801
(603) 430-8505
(603) 436-8381
Mailing address
330 BORTHWICK AVENUE, SUITE 112, PORTSMOUTH, NH 03801
(603) 430-8505
(603) 436-8381
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
0183
NH
213E00000X
Podiatrist
POD212
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40368267
—
NH
Enumeration date
11/01/2006
Last updated
01/06/2011
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