Healthcare Provider Details

I. General information

NPI: 1528296902
Provider Name (Legal Business Name): RUTH ELLEN JAMES MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/24/2009
Last Update Date: 09/23/2021
Certification Date: 09/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 NEW HAMPSHIRE AVE STE 2
PORTSMOUTH NH
03801
US

IV. Provider business mailing address

105 WALNUT AVE
NORTH HAMPTON NH
03862-2048
US

V. Phone/Fax

Practice location:
  • Phone: 603-319-4490
  • Fax:
Mailing address:
  • Phone: 603-957-8054
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number15707
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: