Doctor Name: | MRS. ERIKA BIRCH REZZUTI |
NPI Number: | 1255734679 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ABOC |
License Number: | 1864 |
Business Practice Address: | 680 White Mountain Hwy Suite #3 Tamworth, NH - 038864625 |
Business Phone Number: | 6037302573 |
Business Fax Number: | |
Mailing Address: | 680 White Mountain Hwy, Suite #3 TAMWORTH |
State: | NH |
Postal Code: | 038864625 |
Phone Number: | 6037302573 |
Fax Number: | |
NPI Enumeration Date: | 09/30/2014 |
NPI Last Update Date: | 09/30/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 156FX1800X |
License Number: | 1864 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Eye and Vision Services Providers |
Taxonomy Classification: | Technician/Technologist |
Taxonomy Specialization: | Optician |
Taxonomy Definition: |