Provider Demographics
NPI:1861575128
Name:JUSCZAK, THOMAS M (DC)
Entity type:Individual
Prefix:DR
First Name:THOMAS
Middle Name:M
Last Name:JUSCZAK
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 PARMENTER RD UNIT A3
Mailing Address - Street 2:
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-3200
Mailing Address - Country:US
Mailing Address - Phone:603-434-4196
Mailing Address - Fax:603-434-3165
Practice Address - Street 1:12 PARMENTER RD UNIT A3
Practice Address - Street 2:
Practice Address - City:LONDONDERRY
Practice Address - State:NH
Practice Address - Zip Code:03053-3200
Practice Address - Country:US
Practice Address - Phone:603-434-4196
Practice Address - Fax:603-434-3165
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2025-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH6080700111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor