Healthcare Provider Details

I. General information

NPI: 1245322452
Provider Name (Legal Business Name): MICHAEL A GUIDI DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 02/22/2022
Certification Date: 02/22/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 WORKS WAY
SOMERSWORTH NH
03878-1639
US

IV. Provider business mailing address

7 WORKS WAY
SOMERSWORTH NH
03878-1639
US

V. Phone/Fax

Practice location:
  • Phone: 603-692-4018
  • Fax: 833-944-2270
Mailing address:
  • Phone: 603-692-4018
  • Fax: 833-944-2270

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number18616
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: