Organization
MOUSAM VALLEY PODIATRY, P.A.
Active
Other names
Rochester Foot & Ankle
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT W GERRY D.P.M. (PRESIDENT/PODIATRIST)
(603) 994-7633
Entity
Organization
Contact information
Practice address
21 WHITEHALL RD, SUITE #302, ROCHESTER, NH 03867-3236
(603) 994-7633
(603) 994-7648
Mailing address
PO BOX 736, SPRINGVALE, ME 04083-0736
(603) 994-7633
(603) 994-7648
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0193
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
037709
ANTHEM
ME
01
—
1760487441
INDIVIDUAL NPI #
ME
01
—
1760487441
INDIVIDUAL NPI
NH
01
—
1942309737
GROUP NPI #
ME
01
—
1942309737
NPI GROUP
NH
05
—
195460000
—
ME
05
—
3089587
—
NH
Enumeration date
09/21/2006
Last updated
10/21/2015
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