Healthcare Provider Details

I. General information

NPI: 1821885138
Provider Name (Legal Business Name): ALI MARDINI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 EILEEN DONDERO FOLEY AVE GRADUATE MEDICAL EDUCATION SUITE 110
PORTSMOUTH NH
03801
US

IV. Provider business mailing address

100 EILEEN DONDERO FOLEY AVE GRADUATE MEDICAL EDUCATION SUITE 110
PORTSMOUTH NH
03801
US

V. Phone/Fax

Practice location:
  • Phone: 603-559-4129
  • Fax:
Mailing address:
  • Phone: 603-559-4129
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: