Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0131X | Foot Surgery | 147 | NH |
NPI | 1063438554 |
---|---|
Provider Name | Dr. Edward Patrick Newcott |
First Address | Concord, NH 03301-3831 |
Second Address | Concord, NH 03301-3831 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 15/07/2006 |
Last Update Date | 02/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00000135 | (05) | NH |
T25741 | (02) | NH |