MEDICARE: JOSEPH R GUARNACCIA DO

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	207P00000X	Emergency Medicine Physician	12260	NH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AA14081	OTHER	NH	HPHC
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	04Y007211NH01	OTHER	NH	ANTHEM BCBS

General Provider Information

NPI Number	:	1730123811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSEPH R GUARNACCIA DO

Provider Business Mailing Address
First Line	:	250 PLEASANT ST
Second Line	:
City	:	CONCORD
State	:	NH
Zip	:	03301-2598
Country	:	US
Telephone Number	:	603-225-2711
Fax Number	:	603-224-6527

Provider Business Practice Location Address
First Line	:	250 PLEASANT ST
Second Line	:
City	:	CONCORD
State	:	NH
Zip	:	03301-2598
Country	:	US
Telephone Number	:	603-225-2711
Fax Number	:	603-224-6527

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

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	07/21/2022

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Directions to “ JOSEPH R GUARNACCIA DO” Practice Location

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