Provider Demographics
NPI:1831082775
Name:NORTHEAST FOOT AND ANKLE SURGICAL ASSOCIATES, PLLC
Entity type:Organization
Organization Name:NORTHEAST FOOT AND ANKLE SURGICAL ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:SUZANNE
Authorized Official - Last Name:SARTORI
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:603-431-6070
Mailing Address - Street 1:14 MANCHESTER SQ STE 250
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-8003
Mailing Address - Country:US
Mailing Address - Phone:603-431-6070
Mailing Address - Fax:603-766-0612
Practice Address - Street 1:14 MANCHESTER SQ STE 250
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-8003
Practice Address - Country:US
Practice Address - Phone:603-431-6070
Practice Address - Fax:603-766-0612
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty