Individual
MIRNO C PASQUALI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
85 SPRING ST, LACONIA, NH 03246-3113
(603) 527-2955
(603) 527-2947
Mailing address
PO BOX 1327, LACONIA, NH 03247-1327
(603) 524-3211
(603) 527-7038
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0249 P
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30330176
—
NH
Enumeration date
02/08/2006
Last updated
07/08/2007
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