Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 204D00000X | Neuromusculoskeletal Medicine (NMM) | 5684 | NH |
NPI | 1245396175 |
---|---|
Provider Name | Dr. Loretta Guzzi |
First Address | Merrimack, NH 03054-1507 |
Second Address | Amherst, NH 03031-1205 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2006 |
Last Update Date | 05/02/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0404187YONH01 | ANTHEM (01) | NH |
B86106 | (02) |