Individual
DANIEL CHENTORYCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1 MEDICAL CENTER DR, CARDIOTHORACIC SERVICES, LEBANON, NH 03756-1000
(603) 650-8572
Mailing address
1 MEDICAL CENTER DR, CARDIOTHORACIC SERVICES, LEBANON, NH 03756-1000
(603) 650-8572
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
9106307
FL
363AS0400X
Surgical Physician Assistant
Primary
0962
NH
363AS0400X
Surgical Physician Assistant
9106307
FL
Other
Enumeration date
11/10/2011
Last updated
10/04/2013
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