Individual
PAUL F RACICOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 HIGHLAND ST, LACONIA, NH 03246-3235
(603) 527-2819
(603) 527-2984
Mailing address
PO BOX 678, LACONIA, NH 03247-0678
(603) 524-3211
(603) 527-7038
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
7282
NH
207R00000X
Internal Medicine Physician
7282
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0107112Y0NH02
ANTHEM
NH
05
—
30002135
—
NH
Enumeration date
02/09/2006
Last updated
03/25/2010
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