Healthcare Provider Details

I. General information

NPI: 1740656123
Provider Name (Legal Business Name): ACCESS SPORTS MEDICINE & ORTHOPAEDICS, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2015
Last Update Date: 04/25/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 PLAISTOW RD
PLAISTOW NH
03865-2838
US

IV. Provider business mailing address

1 HAMPTON RD SUITE 200
EXETER NH
03833-4848
US

V. Phone/Fax

Practice location:
  • Phone: 603-382-1559
  • Fax: 603-382-0088
Mailing address:
  • Phone: 603-775-7575
  • Fax: 603-778-9680

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: JOSHUA A SIEGEL
Title or Position: PARTNER
Credential: MD
Phone: 603-775-7575