Healthcare Provider Details

I. General information

NPI: 1255445516
Provider Name (Legal Business Name): WALTER ARNOLD HOERMAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

200 GRIFFIN RD STE 12A
PORTSMOUTH NH
03801-7145
US

IV. Provider business mailing address

200 GRIFFIN RD STE 12A
PORTSMOUTH NH
03801-7145
US

V. Phone/Fax

Practice location:
  • Phone: 603-692-4018
  • Fax: 833-944-2270
Mailing address:
  • Phone: 603-457-7040
  • Fax: 603-550-5244

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number7874
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: