Individual
MALCOLM HAUTHAWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PAC
Contact information
Practice address
330 BORTHWICK AVE STE 308, PORTSMOUTH, NH 03801-7112
(603) 431-5242
(603) 433-4045
Mailing address
7 HOLLAND WAY FL 1, EXETER, NH 03833-2997
(603) 778-7975
(603) 778-7964
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3076274
—
NH
Enumeration date
05/27/2006
Last updated
06/18/2020
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