Provider Demographics
NPI:1912635178
Name:BANDOSZ, CHAD (PA)
Entity type:Individual
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First Name:CHAD
Middle Name:
Last Name:BANDOSZ
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Credentials:PA
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Mailing Address - Street 1:360 US HIGHWAY 1 BYP UNIT 102
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-7105
Mailing Address - Country:US
Mailing Address - Phone:603-410-6700
Mailing Address - Fax:603-319-8308
Practice Address - Street 1:8 LOUDON RD
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:NH
Practice Address - Zip Code:03301-5300
Practice Address - Country:US
Practice Address - Phone:603-226-9000
Practice Address - Fax:603-226-2268
Is Sole Proprietor?:No
Enumeration Date:2022-08-15
Last Update Date:2025-02-24
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant