Individual
BENJAMIN MICHAEL IVONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
333 BORTHWICK AVE, PORTSMOUTH, NH 03801-7128
(603) 436-5110
Mailing address
333 BORTHWICK AVE, PORTSMOUTH, NH 03801-7128
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
111097-23
NH
207Q00000X
Family Medicine Physician
Primary
RN2319031
MA
363L00000X
Nurse Practitioner
Primary
111097-23
NH
363LF0000X
Family Nurse Practitioner
RN2319031
MA
Other
Enumeration date
09/26/2025
Last updated
01/27/2026
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