Organization
COASTAL NEPHROLOGY & HYPERTENSION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KULLI M BARRETT MD (SHAREHOLDER)
(603) 436-3433
Entity
Organization
Contact information
Practice address
330 BORTHWICK AVE, SUITE 100, PORTSMOUTH, NH 03801-4174
(603) 436-3433
(603) 427-5115
Mailing address
330 BORTHWICK AVE, SUITE 100, PORTSMOUTH, NH 03801-4174
(603) 436-3433
(603) 427-5115
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005006167
AETNA
NH
05
—
143430000
—
ME
05
—
30211568
—
NH
01
—
CM85
HARVARD PILGRIM
NH
Enumeration date
08/19/2006
Last updated
06/02/2008
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