Individual
DR. JACK FARACI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
30 DANIEL WEBSTER HWY, SUITE 11, MERRIMACK, NH 03054-4822
(603) 883-3365
Mailing address
PO BOX 808, NASHUA, NH 03061-0808
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
5707
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30003436
—
NH
Enumeration date
12/21/2005
Last updated
05/13/2013
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