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NPI Code Detail

MEDICARE: MICHELE A GUILFOYLE PA-C

MEDICARE:   MICHELE A GUILFOYLE  PA-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1363A00000XPhysician Assistant0316PNH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336133388
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELE A GUILFOYLE PA-C
Provider Business Mailing Address
First Line : 330 BORTHWICK AVE
Second Line : SUITE 202W
City : PORTSMOUTH
State : NH
Zip : 03801-4174
Country : US
Telephone Number : 603-433-8434
Fax Number : 603-436-6608
Provider Business Practice Location Address
First Line : 330 BORTHWICK AVE
Second Line : SUITE 202W
City : PORTSMOUTH
State : NH
Zip : 03801-4174
Country : US
Telephone Number : 603-433-8434
Fax Number : 603-436-6608
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2005
Last Update Date : 09/23/2021

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Directions to “ MICHELE A GUILFOYLE PA-C” Practice Location

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