Healthcare Provider Details

I. General information

NPI: 1861556250
Provider Name (Legal Business Name): ATLANTIC PULMONARY ASSOCIATES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 BORTHWICK AVE SUITE 106
PORTSMOUTH NH
03801-4174
US

IV. Provider business mailing address

330 BORTHWICK AVE SUITE 106
PORTSMOUTH NH
03801-4174
US

V. Phone/Fax

Practice location:
  • Phone: 603-436-3614
  • Fax: 603-436-0377
Mailing address:
  • Phone: 603-436-3614
  • Fax: 603-436-0377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number6863
License Number StateNH

VIII. Authorized Official

Name: DR. CHARLES R FELTON
Title or Position: PARTNER
Credential: MD
Phone: 603-436-4614