Individual
MICHAEL SCOTT CINILIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
333 BORTHWICK AVE, MOB 402, PORTSMOUTH, NH 03801-7128
(603) 559-4111
(603) 559-4110
Mailing address
333 BORTHWICK AVE, MOB 402, PORTSMOUTH, NH 03801-7128
(603) 559-4111
(603) 559-4110
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
P61030
NY
363AM0700X
Medical Physician Assistant
Primary
0676
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3075589
—
NH
Enumeration date
09/20/2007
Last updated
02/27/2017
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