Healthcare Provider Details

I. General information

NPI: 1194805846
Provider Name (Legal Business Name): PORTSMOUTH FOOT AND ANKLE, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 06/12/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 MANCHESTER SQ SUITE 250
PORTSMOUTH NH
03801-7866
US

IV. Provider business mailing address

14 MANCHESTER SQ SUITE 250
PORTSMOUTH NH
03801-7866
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 Code213ES0103X
TaxonomyFoot & Ankle Surgery Podiatrist
License Number0301
License Number StateNH

VIII. Authorized Official

Name: JENNIFER SUZANNE SARTORI
Title or Position: OWNER
Credential: DPM
Phone: 603-431-6070