Organization
COASTAL PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN HODGES M.D. (PRESIDENT)
(603) 431-7393
Entity
Organization
Contact information
Practice address
200 GRIFFIN RD, SUITE 15, PORTSMOUTH, NH 03801-7145
(603) 431-7393
(603) 430-2195
Mailing address
200 GRIFFIN RD, SUITE 15, PORTSMOUTH, NH 03801-7145
(603) 431-7393
(603) 430-2195
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
9019
NH
Other
Enumeration date
12/12/2007
Last updated
12/12/2007
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