Individual
MARK R HENSCHKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2064 WOODBURY AVE, SUITE 102, NEWINGTON, NH 03801-7801
(603) 766-8130
(603) 766-8131
Mailing address
2064 WOODBURY AVE, SUITE 102, NEWINGTON, NH 03801-7801
(603) 766-8130
(603) 766-8131
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9158
NH
207R00000X
Internal Medicine Physician
DO13001
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020470410
TAX ID
NH
05
—
30006683
—
NH
01
—
P00004229
RAILROAD MEDICARE
NH
Enumeration date
09/08/2005
Last updated
09/26/2013
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