Provider Demographics
NPI:1427241587
Name:ASSOCIATES IN PODIATRY P.C.
Entity type:Organization
Organization Name:ASSOCIATES IN PODIATRY P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:DWYER
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:603-471-9933
Mailing Address - Street 1:18 CONSTITUTION DR STE 2
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:NH
Mailing Address - Zip Code:03110-6076
Mailing Address - Country:US
Mailing Address - Phone:603-471-9933
Mailing Address - Fax:603-471-9944
Practice Address - Street 1:18 CONSTITUTION DR
Practice Address - Street 2:SUITE 2
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-6076
Practice Address - Country:US
Practice Address - Phone:603-471-9933
Practice Address - Fax:603-471-9944
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-22
Last Update Date:2008-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0211213ES0103X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHCM9539OtherMEDICARE RAILROAD
NH30011061Medicaid
NH30010840Medicaid
NH0551660001Medicare NSC
NH30011061Medicaid
NHLX0022Medicare PIN
NHLX0038Medicare PIN
NHCM9539OtherMEDICARE RAILROAD