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Contact Information

ROBERT M TYSZKO
129 WILTON RD
SUITE A
PETERBOROUGH, NH03458-1749
 Phone: 603-924-9591
 Fax: 603-924-9593
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
 

Corneal and Contact Management

152WC0802X 41 Optometry
Indicates primary specialty

NPI Profile & details for ROBERT M TYSZKO · (Male)

NPI Number 1467486852
Status Active
Credentials
Entity Individual
Enumeration date 07/10/2006
Last updated 06/13/2013 - About 13 years ago
Sole proprietor 1 Yes
Identifiers
  • MA License # 3796
  • NH License # 726
  • NH Medicaid 30354215
  • NH Other 09Y003479NH04 ANTHEM
  • NH Other 7823073 CIGNA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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