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Individual

SETH WILLIAM ECKENROTH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
USCG IDHS

Contact information

Practice address
100 PAUL JONES AVE, BLDG. 171, KITTERY, ME 03804
(207) 438-6650
Mailing address
100 JOHN PAUL JONES AVE, BLDG 171, PORTSMOUTH, NH 03804
(207) 438-6650

Taxonomy

Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary

Other

Enumeration date
01/31/2022
Last updated
01/31/2022
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