Provider Demographics
NPI:1720021710
Name:HARBOUR WOMENS HEALTH PLLC
Entity Type:Organization
Organization Name:HARBOUR WOMENS HEALTH PLLC
Other - Org Name:HARBOUR WOMEN'S HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EMILY
Authorized Official - Middle Name:J
Authorized Official - Last Name:AMAROSA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-431-6011
Mailing Address - Street 1:HARBOUR WOMEN'S HEALTH
Mailing Address - Street 2:155 GRIFFIN ROAD
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-4125
Mailing Address - Country:US
Mailing Address - Phone:603-431-6011
Mailing Address - Fax:603-431-6227
Practice Address - Street 1:HARBOUR WOMEN'S HEALTH
Practice Address - Street 2:155 GRIFFIN ROAD
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4125
Practice Address - Country:US
Practice Address - Phone:603-431-6011
Practice Address - Fax:603-431-6227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-14
Last Update Date:2022-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30010188Medicaid
NH30010188Medicaid