Individual
DR. MICHAEL RICHARD PROCACCINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
370 DANIEL WEBSTER HWY, MERRIMACK, NH 03054-4152
(603) 424-0404
(603) 424-1147
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0974
NH
Other
Enumeration date
06/05/2018
Last updated
03/30/2021
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