MEDICARE: BAILEY MARZEC

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	363A00000X	Physician Assistant		NH

General Provider Information

NPI Number	:	1588400477
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BAILEY MARZEC

Provider Business Mailing Address
First Line	:	617 MAIN ST
Second Line	:
City	:	DANVILLE
State	:	NH
Zip	:	03819-3135
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	243 ELM ST
Second Line	:
City	:	CLAREMONT
State	:	NH
Zip	:	03743-4921
Country	:	US
Telephone Number	:	603-542-7771
Fax Number	:

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

Provider Enumeration Date	:	07/01/2024
Last Update Date	:	02/02/2026

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Directions to “ BAILEY MARZEC ” Practice Location

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