Organization
JEROME SEPIC MD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEROME SEPIC MD (MEMBER)
(603) 334-6800
Entity
Organization
Contact information
Practice address
875 GREENLAND RD, PORTSMOUTH, NH 03801-4164
(603) 334-6800
(603) 334-6868
Mailing address
PO BOX 86, HINGHAM, MA 02043-0086
(781) 749-9071
(781) 749-2133
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
13930
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30217002
—
NH
Enumeration date
07/31/2008
Last updated
09/14/2009
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