Healthcare Provider Details

I. General information

NPI: 1417167826
Provider Name (Legal Business Name): PETER EDMUND SEYMOUR MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/23/2007
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15 DURHAM RD STE 210
DOVER NH
03820-4791
US

IV. Provider business mailing address

35 WALKER ST STE 200
KITTERY ME
03904-1727
US

V. Phone/Fax

Practice location:
  • Phone: 207-475-0100
  • Fax: 855-654-3271
Mailing address:
  • Phone: 207-475-0100
  • Fax: 855-654-3271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number15139
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: