Provider Demographics
NPI:1720258163
Name:EDWARD P NEWCOTT
Entity type:Organization
Organization Name:EDWARD P NEWCOTT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:NEWCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-228-3008
Mailing Address - Street 1:102 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:NH
Mailing Address - Zip Code:03301-3831
Mailing Address - Country:US
Mailing Address - Phone:603-228-3008
Mailing Address - Fax:
Practice Address - Street 1:102 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-3831
Practice Address - Country:US
Practice Address - Phone:603-228-3008
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-29
Last Update Date:2008-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
0849020001Medicare NSC