MEDICARE: JOHN A RESCIGNO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	11639	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215939715
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN A RESCIGNO

Provider Business Mailing Address
First Line	:	6 TSIENNETO RD
Second Line	:	SUITE 302
City	:	DERRY
State	:	NH
Zip	:	03038-1584
Country	:	US
Telephone Number	:	603-434-3525
Fax Number	:	603-434-2877

Provider Business Practice Location Address
First Line	:	6 TSIENNETO RD
Second Line	:	SUITE 302
City	:	DERRY
State	:	NH
Zip	:	03038-1584
Country	:	US
Telephone Number	:	603-434-3525
Fax Number	:	603-434-2877

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/15/2005
Last Update Date	:	07/08/2007

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