Provider Demographics
NPI:1174671838
Name:PORTSMOUTH PULMONARY PHYSICIANS, PA
Entity Type:Organization
Organization Name:PORTSMOUTH PULMONARY PHYSICIANS, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:LS
Authorized Official - Last Name:RYON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-436-4614
Mailing Address - Street 1:330 BORTHWICK AVE
Mailing Address - Street 2:JACKSON-GRAY BUILDING, SUITE106
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-4174
Mailing Address - Country:US
Mailing Address - Phone:603-436-4614
Mailing Address - Fax:
Practice Address - Street 1:330 BORTHWICK AVE
Practice Address - Street 2:JACKSON-GRAY BUILDING, SUITE106
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4174
Practice Address - Country:US
Practice Address - Phone:603-436-4614
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH13383207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary DiseaseGroup - Single Specialty