Organization
PORTSMOUTH EMERGENCY PHYSICIANS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONAVON ALBERTSON MD (CHIEF)
(603) 433-4012
Entity
Organization
Contact information
Practice address
333 BORTHWICK AVE, PORTSMOUTH, NH 03801-7128
(603) 433-4012
(603) 433-5184
Mailing address
333 BORTHWICK AVE, PORTSMOUTH, NH 03801-7128
(603) 433-4012
(603) 433-5184
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
101077300
OWCP
—
05
—
142910000
—
ME
05
—
30009958
—
NH
01
—
612321
TUFTS
—
05
—
9720651
—
MA
01
—
CD6186
RAILROAD MEDICARE
—
Enumeration date
06/21/2006
Last updated
04/28/2009
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