Individual
MR. PETER J KAZANOVICZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
B.C.O.
Contact information
Practice address
169 S RIVER RD, SUITE 14A, BEDFORD, NH 03110-6971
(603) 622-5200
(603) 644-2354
Mailing address
169 S RIVER RD, SUITE 14A, BEDFORD, NH 03110-6971
(603) 622-5200
(603) 644-2354
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
96-270-08
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7501595
—
MA
Enumeration date
09/20/2006
Last updated
07/08/2007
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