GRANITE STATE PODIATRY ASSOCIATES PA NPI 1316445927

NPI Information

GRANITE STATE PODIATRY ASSOCIATES PA is a foot and ankle surgery podiatrist in Bedford, NH. GRANITE STATE PODIATRY ASSOCIATES PA NPI is 1316445927. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

160 S RIVER RD # 2300
BEDFORD, NH
ZIP 03110-927
Phone: (603) 668-3509
Fax: (603) 641-8442

The provider's authorized official is Ellen Yuse .
The authorized official title is Office Manager and has the following contact phone number (603) 668-3509.

The CLIA number assigned to this NPI record is 30D0998864 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/29/2018 and was last updated on 1/29/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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