Healthcare Provider Details

I. General information

NPI: 1316932361
Provider Name (Legal Business Name): JENNIFER SUZANNE SARTORI DPM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2005
Last Update Date: 07/25/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 MANCHESTER SQ STE 250
PORTSMOUTH NH
03801-8001
US

IV. Provider business mailing address

14 MANCHESTER SQ STE 250
PORTSMOUTH NH
03801-8001
US

V. Phone/Fax

Practice location:
  • Phone: 603-431-6070
  • Fax: 603-766-0612
Mailing address:
  • Phone: 603-431-6070
  • Fax: 603-766-0612

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code213E00000X
TaxonomyPodiatrist
License Number0301
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: