Individual
MARC A WINIECKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
82 PETERBOROUGH ST, JAFFREY, NH 03452-5860
(603) 532-8775
(603) 532-7482
Mailing address
82 PETERBOROUGH ST, JAFFREY, NH 03452-5860
(603) 532-8775
(603) 532-7482
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14578
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001277301
MEDICARE PTAN
NH
05
—
30227627
—
NH
Enumeration date
08/17/2006
Last updated
05/26/2011
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