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Organization

APPLEDORE MEDICAL GROUP II INC

Active
Other names
Coastal Cardiothoracic and Vascular Assoc
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM T JOHNSON (VICE PRESIDENT)
(804) 237-7760
Entity
Organization

Contact information

Practice address
333 BORTHWICK AVE, SUITE 402, PORTSMOUTH, NH 03801-7128
(603) 559-4111
(603) 559-4110
Mailing address
333 BORTHWICK AVE, SUITE 402, PORTSMOUTH, NH 03801-7128
(603) 559-4111
(603) 559-4110

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
142350100
ME
05
30212551
NH
Enumeration date
10/17/2005
Last updated
04/30/2009
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