Healthcare Provider Details

I. General information

NPI: 1205896644
Provider Name (Legal Business Name): PETER JOSEPH DEGNAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2006
Last Update Date: 02/14/2025
Certification Date: 02/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

302 NEWMARKET ST BLDG 255
PORTSMOUTH NH
03803-2869
US

IV. Provider business mailing address

9 LOOKOUT PLACE DR
NEWMARKET NH
03857-1733
US

V. Phone/Fax

Practice location:
  • Phone: 603-430-2340
  • Fax:
Mailing address:
  • Phone: 603-770-0414
  • Fax: 603-516-4254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number8794
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: