Provider Demographics
NPI:1023075710
Name:WERCHNIAK, ANDREW E (MD)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:E
Last Name:WERCHNIAK
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Gender:M
Credentials:MD
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Mailing Address - Street 1:330 BORTHWICK AVE STE 303
Mailing Address - Street 2:SEACOAST DERMATOLOGY PLLC
Mailing Address - City:PORTSMOUTH
Mailing Address - State:NH
Mailing Address - Zip Code:03801-7109
Mailing Address - Country:US
Mailing Address - Phone:603-431-5205
Mailing Address - Fax:603-436-4257
Practice Address - Street 1:330 BORTHWICK AVE STE 303
Practice Address - Street 2:SEACOAST DERMATOLOGY PLLC
Practice Address - City:PORTSMOUTH
Practice Address - State:NH
Practice Address - Zip Code:03801-7109
Practice Address - Country:US
Practice Address - Phone:603-431-5205
Practice Address - Fax:603-436-4257
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2015-01-06
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Provider Licenses
StateLicense IDTaxonomies
MA220406207N00000X
NH11723207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology