Individual
ERICA URSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 740-2503
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 740-2503
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1202
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3106015
—
NH
Enumeration date
08/25/2016
Last updated
03/01/2023
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