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Individual

MRS. STEPHANIE T BREWER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
333 BORTHWICK AVE, PORTSMOUTH, NH 03801-7128
(603) 433-4075
(603) 334-2048
Mailing address
333 BORTHWICK AVE, PORTSMOUTH, NH 03801
(603) 433-4075
(603) 334-2048

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0848
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3096165
NH
01
P00940089
RAILROAD MEDICARE
MA
01
P01087925
RAILROAD MEDICARE
NH
Enumeration date
12/21/2010
Last updated
07/17/2015
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