Individual
MR. BENJAMIN PETER BISKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MPT
Contact information
Practice address
41 BUTTRICK RD, MEDICAL PARK TWO, LONDONDERRY, NH 03053-3367
(603) 537-1677
(603) 537-1676
Mailing address
29 KOSCIUSZKO ST, MANCHESTER, NH 03101-1624
(603) 537-1677
(603) 537-1676
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2856
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
08Y004900NH02
BCBS PROVIDER NUMBER
NH
Enumeration date
10/19/2006
Last updated
11/11/2008
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