Individual
ERIC J CANZANELLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
590 COURT ST, DARTMOUTH-HITCHCOCK CLINIC - FAMILY MEDICINE, KEENE, NH 03431-1719
(603) 354-5400
Mailing address
590 COURT ST, DARTMOUTH-HITCHCOCK CLINIC - FAMILY MEDICINE, KEENE, NH 03431-1719
(603) 354-5400
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
17207
NH
207Q00000X
Family Medicine Physician
56501
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P01215725
RAILROAD MEDICARE
MN
Enumeration date
06/27/2012
Last updated
03/07/2017
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