Individual
DONAVON R ALBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 BORTHWICK AVE, PORTSMOUTH, NH 03801-7128
(603) 433-4012
(603) 433-5184
Mailing address
333 BORTHWICK AVE, EMERGENCY DEPT, PORTSMOUTH, NH 03801-7128
(603) 433-4012
(603) 433-5184
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
6323
NH
207R00000X
Internal Medicine Physician
6323
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0104696Y0NH01
ANTHEM
NH
05
—
0194816
—
MA
05
—
30009961
—
NH
05
—
332350099
—
ME
01
—
930050642
RAILROAD MEDICARE
—
Enumeration date
11/21/2006
Last updated
10/24/2010
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