Active NPIIndividual providerSole proprietor

Kristen Dzialo, MD

Pediatrics in Manchester, New Hampshire

NPI Number1427436096
Practice location
1 Elliot Way, Manchester, NH 03103-3502
Fax
401-444-7574
Last updated
December 29, 2022

Kristen Dzialo is a Pediatrics based in Manchester, NH. Kristen Dzialo practices in Manchester, NH and has the professional credentials of MD. The NPI Number for Kristen Dzialo is 1427436096 and holds a License No. LP03332 (RI). The current practice location address for Kristen Dzialo is 1 Elliot Way, Manchester, NH 03103-3502 and can be reached out via phone at 401-444-4471 and via fax at 401-444-7574.

Provider Profile Details

NPI Number
1427436096
Provider Name
Kristen Dzialo
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
1 Elliot Way, Manchester, NH 03103-3502
Phone Number
401-444-4471
Fax Number
401-444-7574
Primary Taxonomy
Pediatrics · 208000000X
Sole Proprietor
Yes
Provider Enumeration Date
May 14, 2015
Last Update Date
December 29, 2022
Certification Date
December 29, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
1 Elliot Way
Manchester, NH 03103-3502
Zip
03103-3502
Phone Number
401-444-4471
Fax Number
401-444-7574
Manchester, NH 03103Get directions →

Provider Business Mailing Address Details

Address
1 Elliot Way
Manchester, NH 03103-3502
City
Manchester
State
NH
Zip
03103-3502
Phone Number
603-669-5300

License Information

License Number
LP03332
License State
RI
Taxonomy
Pediatrics · 208000000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kristen Dzialo, MD?

The NPI number of Kristen Dzialo, MD is 1427436096. It was assigned on May 14, 2015 and is currently active in the NPPES registry.

What is the specialty of Kristen Dzialo, MD?

Kristen Dzialo, MD is registered under the primary taxonomy Pediatrics (code 208000000X), licensed in RI under license number LP03332.

Where does Kristen Dzialo, MD practice?

The practice location is 1 Elliot Way, Manchester, NH 03103-3502. The office can be reached at 401-444-4471 (phone) or 401-444-7574 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1427436096 directly on the NPPES registry website.

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