Healthcare Provider Details

I. General information

NPI: 1376906263
Provider Name (Legal Business Name): FRANCIS BRUSKEY DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/30/2016
Last Update Date: 11/16/2023
Certification Date: 11/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 ALUMNI DR FL 2
EXETER NH
03833-2128
US

IV. Provider business mailing address

7 HOLLAND WAY FL 1
EXETER NH
03833-2937
US

V. Phone/Fax

Practice location:
  • Phone: 603-580-7525
  • Fax: 603-580-7542
Mailing address:
  • Phone: 603-580-7525
  • Fax: 603-580-7542

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number24159
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: