Individual
DR. MARK PISCOPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
185 QUEEN CITY AVE, ELLIOT ORTHOPAEDIC SURGERY SPECIALISTS, MANCHESTER, NH 03101-7100
(603) 625-1655
(603) 626-4686
Mailing address
185 QUEEN CITY AVE, ELLIOT ORTHOPAEDIC SURGERY SPECIALISTS, MANCHESTER, NH 03101-7100
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
8097
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0103992Y0NH01
ANTHEM BC/BS
NH
01
—
020504866003
CIGNA
NH
01
—
101105300
DEPARTMENT OF LABOR
NH
01
—
708165
TUFTS
NH
01
—
NAS928
HARVARD PILGRIM
NH
01
—
RE6661
MEDICARE GROUP NUMBER
NH
Enumeration date
05/02/2006
Last updated
04/13/2011
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