Organization Name: | JOSEPH MISIEWICZ FAMILY PRACTICE |
NPI Number: | 1548582158 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOSEPH MISIEWICZ (OWNER) |
Mailing Address: | 163 Daniel Webster Hwy Meredith |
State: | NH US |
Postal Code: | 032535613 |
Phone Number: | 6032792267 |
Fax Number: | |
NPI Enumeration Date: | 02/23/2010 |
NPI Last Update Date: | 02/24/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 8249 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NH |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |