Organization
EXETER EMERGENCY PHYSICIANS PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK JOSEPH MD (PRESIDENT/MEDICAL DIRECTOR)
(603) 580-6793
Entity
Organization
Contact information
Practice address
5 ALUMNI DR, EXETER, NH 03833-2128
(603) 580-6793
(603) 580-7006
Mailing address
5 ALUMNI DR, EXETER, NH 03833-2128
(603) 580-6793
(603) 580-7006
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101073100
OWCP
—
05
—
142840000
—
ME
01
—
28317
BMC HEALTHNET PLAN
—
05
—
30211012
—
NH
01
—
689149
TUFTS
—
05
—
9703811
—
MA
01
—
CH5646
RAILROAD MEDICARE
—
Enumeration date
10/13/2006
Last updated
05/04/2008
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