TERRENCE LICCIARDI III (NPI# 1932306735) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1932306735 |
| Entity Type | Individual |
| Full Name | TERRENCE LICCIARDI III |
| Credential | RPA |
| Practice Address |
23 Stiles Rd Salem NH 03079-2859 |
| Mailing Address |
37 14th Ave Haverhill MA 01830-3232 |
| Practice Telephone | 6038983129 |
| Mailing Telephone | 9785210998 |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2008-09-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
06481 | MA | Technologists, Technicians & Other Technical Service Providers |
| N | 243U00000X | Radiology Practitioner Assistant | 06481 | MA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
23 STILES RD |
| City | SALEM |
| State | NH |
| Zip Code | 03079-2859 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639162878 | Jenny Estelle Loew | Dietitian, Registered | 23 Stiles Rd, Suite 213, Salem, NH 03079-2859 | 2005-08-23 |
| 1659984581 | Emily Elizabeth Vecchione | Nurse Practitioner | 23 Stiles Rd, Salem, NH 03079-2846 | 2020-08-29 |
| 1033507397 | Charlene Berube | Nurse Practitioner | 23 Stiles Rd, Suite 213, Salem, NH 03079-2859 | 2015-01-08 |
| 1093075608 | Stiles Road Imaging, LLC | Radiology | 23 Stiles Rd, Salem, NH 03079-2859 | 2012-05-17 |
| 1447518485 | Rosalyn J. Kenney Arnp, Pllc | Family Medicine | 23 Stiles Rd, Suite 210, Salem, NH 03079-2859 | 2012-04-27 |
| 1134498546 | Peter A Messina II | Radiologic Technologist | 23 Stiles Rd, Salem, NH 03079-2859 | 2011-12-14 |
| 1477856623 | Jacqueline Sun Hee Yang | Naturopath | 23 Stiles Rd, Ste 210, Salem, NH 03079-2846 | 2010-12-09 |
| 1376873109 | Loew Family Medical Practice, Pllc | Clinic/Center | 23 Stiles Rd, Suite 213, Salem, NH 03079-2859 | 2009-12-29 |
| 1003144288 | Deepak Sharma | Dietitian, Registered | 23 Stiles Rd, Ste. 219, Salem, NH 03079-2859 | 2009-11-25 |
| 1972838563 | Alyssa L Leuchte | Dietitian, Registered | 23 Stiles Rd, Suite # 219, Salem, NH 03079-2859 | 2009-10-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689156945 | Susan Lou Harris | Social Worker | 56 Zion Hill Rd, Salem, NH 03079 | 2018-09-04 |
| 1861970972 | Norrine Mcnelley | Nurse Practitioner | 25 Beechwood Rd, Salem, NH 03079 | 2018-07-31 |
| 1275024135 | Rhode Island Optometrics, LLC | Optometrist | 42 Samoset Dr, Salem, NH 03079 | 2018-05-25 |
| 1003338666 | Rachel Blazich | Specialist/Technologist | 25 General Pulaski Drive, Salem, NH 03079 | 2017-07-14 |
| 1902327935 | Brenda Michelle Karibian | Nurse Practitioner | 9 Gardner Ave, Salem, NH 03079 | 2017-06-29 |
| 1730559154 | Jessica Meredith Cooper | Naturopath | 23 Stiles Rd Ste 210, Salem, NH 03079 | 2015-09-28 |
| 1659754257 | Shuja U Saleem, M.d. | Obstetrics & Gynecology | 23 Stiles Rd., #217, Salem, NH 03079 | 2015-07-01 |
| 1457739724 | Marisa O'brien | Registered Nurse | 2 Keewayin Drive, Salem, NH 03079 | 2015-05-07 |
| 1215360805 | Jeffrey Malone | Counselor | 103 Cluff Crossing, P-3, Salem, NH 03079 | 2013-08-19 |
| 1184964546 | Larissa Grace Pickett | Specialist | 195 North Broadway, Salem Sports and Rehab, Salem, NH 03079 | 2013-02-21 |
| Find all providers in zip 03079 | ||||
| Taxonomy Code | 2471C3402X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Radiologic Technologist |
| Specialization | Radiography |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376746909 | Debra Kelly | Radiologic Technologist | 665 Winter St Se, Salem, OR 97301-3919 | 2007-06-10 |
| 1467496075 | Tracey Caldwell Dillon | Radiologic Technologist | 1900 Braeburn Dr, Salem, VA 24153-7304 | 2006-06-15 |
| 1407899305 | Pamela A Means | Radiologic Technologist | 1900 Braeburn Dr, Salem, VA 24153-7304 | 2006-06-14 |
| 1326082256 | Kimberly F Crowder | Radiologic Technologist | 1900 Braeburn Dr, Salem, VA 24153-7304 | 2006-06-14 |
Please comment or provide details below to improve the information on TERRENCE LICCIARDI III.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.