Organization
PORTSMOUTH SURGICAL SPECIALISTS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY KONDAS (OFFICER)
(973) 251-1132
Entity
Organization
Contact information
Practice address
333 BORTHWICK AVE, PORTSMOUTH, NH 03801-7128
(973) 251-1132
Mailing address
13737 NOEL RD, DALLAS, TX 75240-1331
(973) 251-1132
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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