Individual
MR. RICHARD P CERCONE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, N.H.LAT
Contact information
Practice address
5 EDGEWOOD RD, DURHAM, NH 03824-1950
(603) 862-1004
(603) 862-4801
Mailing address
5 EDGEWOOD RD RM 125A, DURHAM, NH 03824-1950
(603) 862-1004
(603) 862-4801
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 000111
CT
Other
Enumeration date
04/05/2007
Last updated
01/02/2018
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