Provider Demographics
NPI:1417121559
Name:RAPAZZO, RICHARD JR (DPM)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:RAPAZZO
Suffix:JR
Gender:M
Credentials:DPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 FAIRWAY DR
Mailing Address - Street 2:
Mailing Address - City:MERRIMACK
Mailing Address - State:NH
Mailing Address - Zip Code:03054-2623
Mailing Address - Country:US
Mailing Address - Phone:603-377-0723
Mailing Address - Fax:
Practice Address - Street 1:53 FAIRWAY DR
Practice Address - Street 2:
Practice Address - City:MERRIMACK
Practice Address - State:NH
Practice Address - Zip Code:03054-2623
Practice Address - Country:US
Practice Address - Phone:603-377-0723
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-19
Last Update Date:2008-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHX0929332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies