Individual
DR. KEVIN GEORGE LOOSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 BORTHWICK AVE STE 305, PORTSMOUTH, NH 03801-7128
(603) 433-6994
(603) 433-6995
Mailing address
579 SAGAMORE AVE UNIT 38, PORTSMOUTH, NH 03801-5569
(603) 433-6994
(603) 433-6995
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
5989
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3082884
—
NH
01
—
P01156533
RAILROAD MEDICARE
NH
Enumeration date
04/13/2006
Last updated
09/17/2019
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