Individual
ROBERT MARC TYSZKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
129 WILTON RD, SUITE A, PETERBOROUGH, NH 03458-1749
(603) 924-9591
(603) 924-9593
Mailing address
129 WILTON RD, SUITE A, PETERBOROUGH, NH 03458-1749
(603) 924-9591
(603) 924-9593
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
3796
MA
152W00000X
Optometrist
Primary
726
NH
152WC0802X
Corneal and Contact Management Optometrist
726
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
09Y003479NH04
ANTHEM
NH
05
—
30354215
—
NH
01
—
7823073
CIGNA
NH
Enumeration date
07/10/2006
Last updated
06/13/2013
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