GRANITE STATE PODIATRY ASSOCIATES PA NPI 1629272695

NPI Information

NPI: 1629272695
Provider Name: GRANITE STATE PODIATRY ASSOCIATES PA

Other Name: EXETER PODIATRY

Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
424 HANOVER STREET
MANCHESTER, NH
ZIP 03104
Phone: (603) 668-3509
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GRANITE STATE PODIATRY ASSOCIATES PA is a foot and ankle surgery podiatrist in Manchester, NH. GRANITE STATE PODIATRY ASSOCIATES PA NPI is 1629272695. The provider is registered as an organization entity type.
The provider Other Name Is Exeter Podiatry.

The provider's business location address is:

424 HANOVER STREET
MANCHESTER, NH
ZIP 03104
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 enumeration date for this NPI number is 6/13/2007 and was last updated on 5/19/2008.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332B00000X	Durable Medical Equipment & Medical Supplies		0139	NEW HAMPSHIRE	No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	RE7606	MEDICARE PIN	NEW HAMPSHIRE
2	5291500001	MEDICARE NSC

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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