Individual provider · Type 1 NPI

Ezra Bashaw

Surgical Physician Assistant · Exeter, NH

NPI number 1902313331 Active

Practice location

7 Alumni Dr
Exeter, NH 03833-2118

Call (603) 777-1000 Map

Fax (603) 777-1001

Mailing address

4 Alumni Dr
Exeter, NH 03833-2118

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X1773 (NH)

Surgical Physician Assistant: Definition to come...

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About NPI 1902313331

Ezra Bashaw's National Provider Identifier is 1902313331, issued on Jan 8, 2018. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Exeter, NH. The record was last updated on Oct 16, 2025.