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Organization

COASTAL SURGICAL CENTER, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. N. TIMOTHY PETERS MD (MEDICAL DIRECTOR, MEMBER)
(603) 969-9297
Entity
Organization

Contact information

Practice address
291 SHATTUCK WAY, NEWINGTON, NH 03801
(561) 330-3381
(561) 330-3382
Mailing address
155 BORTHWICK AVENUE, SUITE 200 E, PORTSMOUTH, NH 03801
(561) 330-3381
(561) 330-3382

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary

Other

Enumeration date
05/18/2021
Last updated
05/18/2021
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