Organization
SEACOAST ANESTHESIA PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
C. DAVID LONDON M.D. (CHAIRMAN)
(603) 580-6624
Entity
Organization
Contact information
Practice address
5 ALUMNI DR, ANESTHESIA DEPARTMENT, EXETER, NH 03833-2128
(603) 580-6624
(603) 580-6620
Mailing address
PO BOX 845575, BOSTON, MA 02284-5575
(800) 720-1664
(207) 753-2020
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82056866
—
NH
01
—
CF9897
RAILROAD MEDICARE
—
Enumeration date
05/23/2006
Last updated
09/15/2008
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