Healthcare Provider Details

I. General information

NPI: 1568626364
Provider Name (Legal Business Name): ADAM BENJAMIN FLEIT MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/11/2008
Last Update Date: 10/01/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 MARSH BROOK DR SUITE 100
SOMERSWORTH NH
03878-6523
US

IV. Provider business mailing address

7 MARSH BROOK DR SUITE 205
SOMERSWORTH NH
03878-6523
US

V. Phone/Fax

Practice location:
  • Phone: 603-742-2007
  • Fax: 603-749-4605
Mailing address:
  • Phone: 603-742-2007
  • Fax: 603-749-4605

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number16542
License Number StateNH
# 2
Primary TaxonomyY
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number16542
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: