Individual
GEORGE R KOUSAIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
67 CORPORATE DR, 3RD FL, PORTSMOUTH, NH 03801
(603) 610-8050
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 740-4478
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
18895
NH
207Q00000X
Family Medicine Physician
MD12938
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3099264
—
NH
Enumeration date
05/24/2005
Last updated
01/27/2020
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