Individual
EZRA BASHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7 ALUMNI DR, EXETER, NH 03833-2118
(603) 777-1000
(603) 777-1001
Mailing address
4 ALUMNI DR, EXETER, NH 03833-2118
(603) 777-1000
(603) 777-1001
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
1773
NH
Other
Enumeration date
01/08/2018
Last updated
10/16/2025
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