Healthcare Provider Details

I. General information

NPI: 1265835128
Provider Name (Legal Business Name): MICHAEL TWOMEY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/06/2014
Last Update Date: 12/14/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

943 OCEAN BLVD 19
HAMPTON NH
03842-1443
US

IV. Provider business mailing address

943 OCEAN BLVD 19
HAMPTON NH
03842-1443
US

V. Phone/Fax

Practice location:
  • Phone: 603-929-0712
  • Fax:
Mailing address:
  • Phone: 603-929-0712
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number31580
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: