Dr. Scott Wambolt D.O.
Emergency Medicine Physician in Manchester, NH(View on Map)
Full Name
Dr. Scott Wambolt D.O.
NPI Number
1427582881
NPI Type
Individual Provider
Gender
Male
Enumeration Date
04/12/2017
Specialties
(Taxonomies)Name
Code
207P00000X
208D00000X
390200000X
Primary Taxonomy
Yes
No
No
Licenses
State
Alaska
New Hampshire
Virginia
License Number
157824
25534
0102205459
Contact
Information
Purpose
Mailing
Location
Address
1 ELLIOT WAY
1 ELLIOT WAY
City
Manchester
Manchester
State
NH
NH
Postal Code
03103-3599
03103-3502
Country
US
US
Telephone Number
N/A
(774) 249-9643
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 07/16/2024