Individual
DR. PETER KASYJANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
424 HANOVER STREET, MANCHESTER, NH 03104
(603) 668-3509
(603) 641-8442
Mailing address
424 HANOVER STREET, MANCHESTER, NH 03104
(603) 668-3509
(603) 641-8442
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
0299
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029900
TUFTS
—
01
—
03YO03817NH03
ANTHEM BCBS NH
NH
01
—
333797
HARVARD PILGRIM
—
Enumeration date
09/20/2006
Last updated
05/19/2008
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