Provider Demographics
NPI:1154543593
Name:PORTSMOUTH INTERNAL MEDICINE ASSOCIATES
Entity type:Organization
Organization Name:PORTSMOUTH INTERNAL MEDICINE ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:C
Authorized Official - Last Name:PINKERTON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-426-6115
Mailing Address - Street 1:330 BORTHWICK AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-4174
Mailing Address - Country:US
Mailing Address - Phone:603-426-6115
Mailing Address - Fax:603-433-5567
Practice Address - Street 1:330 BORTHWICK AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4174
Practice Address - Country:US
Practice Address - Phone:603-426-6115
Practice Address - Fax:603-433-5567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-03
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty