Individual
BRIDGET DEACON MARVINSMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 WOODBURY AVE, PORTSMOUTH, NH 03801-3250
(603) 602-9070
Mailing address
360 US HIGHWAY 1 BYP UNIT 102, PORTSMOUTH, NH 03801-7105
(603) 410-6700
(603) 319-8308
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17839
NH
207Q00000X
Family Medicine Physician
LP02876
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3106263
—
NH
Enumeration date
06/06/2013
Last updated
11/16/2023
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