Provider Demographics
NPI:1710976972
Name:SZYMANSKI, BRIAN J (MD)
Entity Type:Individual
Prefix:
First Name:BRIAN
Middle Name:J
Last Name:SZYMANSKI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 DREYER WAY
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03867-2775
Mailing Address - Country:US
Mailing Address - Phone:603-332-6413
Mailing Address - Fax:603-335-1076
Practice Address - Street 1:7 DREYER WAY
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NH
Practice Address - Zip Code:03867-2775
Practice Address - Country:US
Practice Address - Phone:603-332-6413
Practice Address - Fax:603-335-1076
Is Sole Proprietor?:No
Enumeration Date:2005-10-19
Last Update Date:2007-12-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NH103482085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH30200074Medicaid
NH1648OtherCIGNA
NH1648OtherCIGNA
NH30200074Medicaid