Provider Demographics
NPI:1164852125
Name:ADVANTAGE FOOT CARE
Entity Type:Organization
Organization Name:ADVANTAGE FOOT CARE
Other - Org Name:EDWARD P. NEWCOTT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PODIATRIST OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:P
Authorized Official - Last Name:NEWCOTT
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
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:603-448-7148
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:603-448-7148
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-12
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH147213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHNH8273OtherMEDICARE NUMBER