Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QA0401X | Family Doctor - Addiction Medicine | 6680 | NH |
NPI | 1770741993 |
---|---|
Provider Name | Dr. Michael Schorsch |
First Address | Lebanon, NH 03766-1377 |
Second Address | Lebanon, NH 03766-1377 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2008 |
Last Update Date | 09/01/2014 |