Basic Information
Provider Information
NPI: 1700248242
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: PARANZINO
FirstName: MARC
MiddleName: ADAM
NamePrefix: DR.
NameSuffix:  
Credential: DO
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 900 S LIMESTONE
Address2: CTW 304
City: LEXINGTON
State: KY
PostalCode: 405360001
CountryCode: US
TelephoneNumber: 8593236642
FaxNumber: 8593231200
Practice Location
Address1: 19 OLD ROLLINSFORD RD BLDG B
Address2:  
City: DOVER
State: NH
PostalCode: 038202807
CountryCode: US
TelephoneNumber: 6035164265
FaxNumber:  
Other Information
ProviderEnumerationDate: 03/23/2016
LastUpdateDate: 10/06/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 09/29/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XR4152KYN Allopathic & Osteopathic PhysiciansInternal Medicine 
207RC0000X17168NHY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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