Provider Demographics
NPI:1053415794
Name:CLAIRMONT, THOMAS P JR (MD)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:P
Last Name:CLAIRMONT
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:330 BORTHWICK AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-4174
Mailing Address - Country:US
Mailing Address - Phone:603-436-6115
Mailing Address - Fax:603-433-5567
Practice Address - Street 1:330 BORTHWICK AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-4174
Practice Address - Country:US
Practice Address - Phone:603-436-6115
Practice Address - Fax:603-433-5567
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH6279207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3083599Medicaid
NHRAILROAD P01011566Medicare PIN
C65765Medicare UPIN
NH3083599Medicaid
NHNH006301Medicare PIN
NHP01011566OtherRAILROAD MEDICARE