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Individual

DR. MICHAEL ROBERT KACZANOWSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
8 PROSPECT ST, NORTH II, NASHUA, NH 03060-3925
(603) 577-5355
(603) 577-5356
Mailing address
8 PROSPECT ST, NORTH II, NASHUA, NH 03060-3925
(603) 577-5355
(603) 577-5356

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
13968
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3079568
NH
01
RE6661
MEDICARE GROUP
NH
Enumeration date
06/05/2007
Last updated
09/18/2014
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