Organization
PUDDLE DOCK PEDIATRICS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALYSSA REYES SMITH MD (OWNER/PHYSICIAN)
(603) 457-7040
Entity
Organization
Contact information
Practice address
200 GRIFFIN RD STE 12A, PORTSMOUTH, NH 03801-7145
(603) 457-7040
Mailing address
200 GRIFFIN RD STE 12A, PORTSMOUTH, NH 03801-7145
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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