Individual
GARETH DAVIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
330 BORTHWICK AVE, SUITE 300, PORTSMOUTH, NH 03801-4174
(603) 433-4666
(603) 433-1338
Mailing address
330 BORTHWICK AVE, SUITE 300, PORTSMOUTH, NH 03801-4174
(603) 433-4666
(603) 433-1338
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
17105
NH
207T00000X
Neurological Surgery Physician
MT192538
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3103303
—
NH
01
—
P01530333
RAILROAD MEDICARE
NH
Enumeration date
05/21/2008
Last updated
02/10/2022
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