Provider Demographics
NPI:1245396175
Name:GUZZI, LORETTA (DO)
Entity Type:Individual
Prefix:DR
First Name:LORETTA
Middle Name:
Last Name:GUZZI
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:POB 1507
Mailing Address - Street 2:
Mailing Address - City:MERRIMACK
Mailing Address - State:NH
Mailing Address - Zip Code:03054-1507
Mailing Address - Country:US
Mailing Address - Phone:630-249-9990
Mailing Address - Fax:
Practice Address - Street 1:294 ROUTE 101
Practice Address - Street 2:GREELEY POINT UNIT E5
Practice Address - City:AMHERST
Practice Address - State:NH
Practice Address - Zip Code:03031-1205
Practice Address - Country:US
Practice Address - Phone:603-249-9990
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-28
Last Update Date:2018-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH5684204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH0404187YONH01OtherANTHEM
B86106Medicare UPIN