Healthcare Provider Details

I. General information

NPI: 1780183053
Provider Name (Legal Business Name): PACE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/01/2018
Last Update Date: 02/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 BORTHWICK AVE STE 301
PORTSMOUTH NH
03801-7128
US

IV. Provider business mailing address

333 BORTHWICK AVE STE 301
PORTSMOUTH NH
03801-7128
US

V. Phone/Fax

Practice location:
  • Phone: 603-969-6465
  • Fax: 603-431-5818
Mailing address:
  • Phone: 603-969-6465
  • Fax: 603-431-5818

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302F00000X
TaxonomyExclusive Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: DR. THOMAS VAILL KING
Title or Position: OWNER
Credential: MD
Phone: 603-969-6465