Individual
DR. JOHN ANTHONY FEDERICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 BORTHWICK AVENUE, SUITE 402, PORTSMOUTH, NH 03801
(603) 559-4111
(406) 752-8220
Mailing address
333 BORTHWICK AVENUE, SUITE 402, PORTSMOUTH, NH 03801
(603) 559-4111
(406) 752-8220
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
033511
CT
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
033511
CT
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
41984
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001335117
—
CT
Enumeration date
02/03/2006
Last updated
08/25/2025
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