CATHEDRAL LEDGE AESTHETICS AND WELLNESS NPI 1083487599

NPI Information

  • NPI: 1083487599
  • Provider Name: CATHEDRAL LEDGE AESTHETICS AND WELLNESS
  • Classification: General Practice - 208D00000X
  • Entity Type: Organization
  • CLIA Number: 30D2299872
  • Address: 1857 WHITE MOUNTAIN HWY UNIT 1
    NORTH CONWAY, NH
    ZIP 03860
  • Phone: (603) 662-2557

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NPI Details

CATHEDRAL LEDGE AESTHETICS AND WELLNESS is a general practice in North Conway, NH. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee CATHEDRAL LEDGE AESTHETICS AND WELLNESS NPI is 1083487599. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1857 WHITE MOUNTAIN HWY UNIT 1
NORTH CONWAY, NH
ZIP 03860-158
Phone: (603) 662-2557

The provider's authorized official is Sohaib Siddiqui .
The authorized official title is Owner and has the following contact phone number (603) 662-2557.

The CLIA number assigned to this NPI record is 30D2299872 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/6/2023 and was last updated on 11/8/2023.

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
1208D00000XGeneral PracticeYes

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: 3/30/2025

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