Healthcare Provider Details

I. General information

NPI: 1689643843
Provider Name (Legal Business Name): JO ANN BELTRE MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JO ANN GATES MD

II. Dates (important events)

Enumeration Date: 03/17/2006
Last Update Date: 03/06/2026
Certification Date: 03/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

218 MAIN ST
EPPING NH
03042-2431
US

IV. Provider business mailing address

360 US HIGHWAY 1 BYP UNIT 102
PORTSMOUTH NH
03801-7105
US

V. Phone/Fax

Practice location:
  • Phone: 603-289-2797
  • Fax:
Mailing address:
  • Phone: 603-410-6700
  • Fax: 603-319-8308

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number14250
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: