Provider Demographics
NPI:1013370907
Name:MARCHESE, PAUL II
Entity Type:Individual
Prefix:MR
First Name:PAUL
Middle Name:
Last Name:MARCHESE
Suffix:II
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 SNOW RD
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03470-2806
Mailing Address - Country:US
Mailing Address - Phone:603-239-6355
Mailing Address - Fax:603-239-6472
Practice Address - Street 1:8 SNOW RD
Practice Address - Street 2:
Practice Address - City:WINCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03470-2806
Practice Address - Country:US
Practice Address - Phone:603-239-6355
Practice Address - Fax:603-239-6472
Is Sole Proprietor?:No
Enumeration Date:2016-03-30
Last Update Date:2016-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH0731224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant