Provider Demographics
NPI:1316932361
Name:SARTORI, JENNIFER SUZANNE (DPM)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:SUZANNE
Last Name:SARTORI
Suffix:
Gender:F
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:14 MANCHESTER SQ
Mailing Address - Street 2:STE 250
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-8001
Mailing Address - Country:US
Mailing Address - Phone:603-431-6070
Mailing Address - Fax:603-766-0612
Practice Address - Street 1:14 MANCHESTER SQ
Practice Address - Street 2:STE 250
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-8001
Practice Address - Country:US
Practice Address - Phone:603-431-6070
Practice Address - Fax:603-766-0612
Is Sole Proprietor?:No
Enumeration Date:2005-09-15
Last Update Date:2011-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0301213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHRE6800Medicare ID - Type Unspecified
U91015Medicare UPIN