Kim H Dedeus in Portsmouth - Surgical

Kim H Dedeus - NPI 1063408144

Kim H Dedeus is a Surgical in Portsmouth, New Hampshire. Kim H Dedeus practices all healthcare services and medical treatments related to Surgical. The NPI Number for Kim H Dedeus is 1063408144. The last update date is 2017-02-16.

Kim H Dedeus's current location address is 333 Borthwick Ave, Portsmouth, New Hampshire. You can contact this provider via phone number 6034315858 and fax number 6034315818. The mailing address for Kim H Dedeus is 333 Borthwick Ave, Portsmouth, New Hampshire. To know further, please read the information below!

Provider Profile Detail

Provider Name Kim H Dedeus
Address 333 Borthwick Ave, Portsmouth, New Hampshire
Phone Number 6034315858
Fax Number 6034315818
Sole Proprietor N
Credentials PA-C

NPI Number Detail

NPI Number 1063408144
Provider Enumeration Date 2005-09-23
Last Updated Date 2017-02-16

Provider Mailing Address Detail

Address 333 Borthwick Ave
City Portsmouth
State New Hampshire (NH)
Post Code 38017128
Phone Number 6034315858
Fax Number 6034315818

Provider's Primary Taxonomy Detail

Speciality Surgical
Taxonomy 363As0400X
Licence No 0504P
Definition:
A licensed healthcare professional who assists in providing surgical care under physician supervision.

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FAQs about Kim H Dedeus

What is the Kim H Dedeus's 1063408144?

The Kim H Dedeus's NPI (National Provider Identifier) Number is 1063408144. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Can you provide the Kim H Dedeus's physical address?

The Kim H Dedeus is physically located at 333 Borthwick Ave, in the city of Portsmouth, NH, with the postal code 38017128.

What is the area of specialization for Kim H Dedeus, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Kim H Dedeus is Surgical, and the corresponding taxonomy code that categorizes this area of expertise is 363As0400X.

On what date did the Kim H Dedeus receive the assignment of its 1063408144 from the Centers for Medicare & Medicaid Services?

The Kim H Dedeus was issued its 1063408144 by the Centers for Medicare & Medicaid Services on 2005-09-23.

When was the information regarding Kim H Dedeus most recently updated?

The details pertaining to the Kim H Dedeus, including its address, specialty, and other relevant information, were last refreshed on 2017-02-16.

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