Provider Demographics
NPI:1417167826
Name:SEYMOUR, PETER EDMUND (MD)
Entity type:Individual
Prefix:DR
First Name:PETER
Middle Name:EDMUND
Last Name:SEYMOUR
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:35 WALKER ST STE 200
Mailing Address - Street 2:
Mailing Address - City:KITTERY
Mailing Address - State:ME
Mailing Address - Zip Code:03904-1727
Mailing Address - Country:US
Mailing Address - Phone:207-475-0100
Mailing Address - Fax:855-654-3271
Practice Address - Street 1:15 DURHAM RD STE 210
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-4791
Practice Address - Country:US
Practice Address - Phone:207-475-0100
Practice Address - Fax:855-654-3271
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2025-11-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH15139207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1417167826Medicare PIN