Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207N00000X | Dermatologist | 11723 | NH |
N | 207N00000X | Dermatologist | 220406 | MA |
NPI | 1023075710 |
---|---|
Provider Name | Andrew E Werchniak |
First Address | Portsmouth, NH 03801-7109 |
Second Address | Portsmouth, NH 03801-7109 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/04/2006 |
Last Update Date | 06/01/2015 |