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Individual

MARK HENRY RESCINO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PH. D., PA-C

Contact information

Practice address
185 QUEEN CITY AVE, MANCHESTER, NH 03101-7121
(603) 625-1655
Mailing address
185 QUEEN CITY AVE, MANCHESTER, NH 03101-7121
(603) 625-1655

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-09939
NC
363A00000X
Physician Assistant
Primary
0629
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
30336181
NH
Enumeration date
03/09/2007
Last updated
10/27/2023
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