| Doctor Name: | MICHAEL SOUTHWORTH |
| NPI Number: | 1306822481 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | 013160 |
| Business Practice Address: | 3 Terrascape Pkwy Somersworth, NH - 038781115 |
| Business Phone Number: | 6038426060 |
| Business Fax Number: | 6036926040 |
| Mailing Address: | 3 Terrascape Pkwy, SOMERSWORTH |
| State: | NH |
| Postal Code: | 038781115 |
| Phone Number: | 6038426060 |
| Fax Number: | 6036926040 |
| NPI Enumeration Date: | 12/20/2005 |
| NPI Last Update Date: | 09/02/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2086S0129X |
| License Number: | 013160 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | ME |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Surgery |
| Taxonomy Specialization: | Vascular Surgery |
| Taxonomy Definition: | A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart. |