Provider Demographics
NPI:1033142229
Name:SZCZEPIORKOWSKI, ZBIGNIEW MACDONALD (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:ZBIGNIEW
Middle Name:MACDONALD
Last Name:SZCZEPIORKOWSKI
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:DR
Other - First Name:ZBIGNIEW
Other - Middle Name:MIROSLAW
Other - Last Name:SZCZEPIORKOWSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, PHD
Mailing Address - Street 1:1 MEDICAL CENTER DR
Mailing Address - Street 2:
Mailing Address - City:LEBANON
Mailing Address - State:NH
Mailing Address - Zip Code:03756-1000
Mailing Address - Country:US
Mailing Address - Phone:603-653-9907
Mailing Address - Fax:603-650-4845
Practice Address - Street 1:1 MEDICAL CENTER DR
Practice Address - Street 2:
Practice Address - City:LEBANON
Practice Address - State:NH
Practice Address - Zip Code:03756-1000
Practice Address - Country:US
Practice Address - Phone:603-653-9907
Practice Address - Fax:603-650-4845
Is Sole Proprietor?:No
Enumeration Date:2006-07-09
Last Update Date:2011-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH12041207ZB0001X
MA154167207ZB0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZB0001XAllopathic & Osteopathic PhysiciansPathologyBlood Banking & Transfusion Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30201854Medicaid
VT1009967Medicaid
G68170Medicare UPIN
NH30201854Medicaid