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NPI Code Detail

MEDICARE: DR. JOAN P ZINKAWICH MD

MEDICARE: DR. JOAN P ZINKAWICH MD
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
1207R00000XInternal Medicine Physician184602-1NY
2207R00000XInternal Medicine Physician13732NH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P00717406OTHERNHRAILROAD MEDICARE

Other Identifiers

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

General Provider Information

NPI Number : 1770626335
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JOAN P ZINKAWICH MD
Provider Business Mailing Address
First Line : 79 GREELEY ST
Second Line :
City : HUDSON
State : NH
Zip : 03051-3513
Country : US
Telephone Number : 603-880-4972
Fax Number :
Provider Business Practice Location Address
First Line : 156 HARVEY RD
Second Line :
City : LONDONDERRY
State : NH
Zip : 03053-7449
Country : US
Telephone Number : 603-644-3330
Fax Number : 603-644-3332
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2007
Last Update Date : 11/21/2011

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