Individual
THOMAS P LEBOSQUET III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 BORTHWICK AVE, EMERGENCY DEPT, PORTSMOUTH, NH 03801-7128
(603) 433-4012
(603) 433-5184
Mailing address
333 BORTHWICK AVE, EMERGENCY DEPT, PORTSMOUTH, NH 03801-7128
(603) 433-4012
(603) 433-5184
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2012-02232
NC
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
13217
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01Y011074NH01
ANTHEM
NH
05
—
2124076
—
MA
05
—
30206219
—
NH
05
—
432341899
—
ME
01
—
P00381605
RAILROAD MEDICARE
—
Enumeration date
07/05/2006
Last updated
12/29/2016
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