Organization
APPLEDORE MEDICAL GROUP, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE BERGAMO (VICE PRESIDENT)
(804) 267-5950
Entity
Organization
Contact information
Practice address
100 EILEEN DONDERO FOLEY AVE STE 300, PORTSMOUTH, NH 03801-4597
(603) 436-6115
Mailing address
2000 HEALTH PARK DR, BRENTWOOD, TN 37027-4692
(615) 373-7406
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
—
NH
207RI0011X
Interventional Cardiology Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142350000
—
ME
05
—
142350002
—
ME
05
—
142350003
—
ME
05
—
142350004
—
ME
05
—
142350005
—
ME
05
—
142350007
—
ME
05
—
142350008
—
ME
05
—
142350011
—
ME
05
—
142350012
—
ME
05
—
30213396
—
NH
05
—
30213400
—
NH
05
—
30214303
—
NH
05
—
30217420
—
NH
05
—
30217899
—
NH
05
—
30220959
—
NH
Enumeration date
10/18/2005
Last updated
11/20/2025
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