Jan Idzikowski, PA
Physician Assistant, Surgical in New London, New Hampshire
1629074505- Practice location
- 273 County RD, New London, NH 03257-5736
- Phone
- 603-526-2911
- Fax
- —
- Last updated
- January 8, 2020
Jan Idzikowski is a Physician Assistant, Surgical based in New London, NH. Jan Idzikowski practices in New London, NH and has the professional credentials of PA. The NPI Number for Jan Idzikowski is 1629074505 and holds a License No. 585 (CO). The current practice location address for Jan Idzikowski is 273 County RD, New London, NH 03257-5736 and can be reached out via phone at 603-526-2911.
Provider Profile Details
- NPI Number
- 1629074505
- Provider Name
- Jan Idzikowski
- Credential
- PA
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 273 County RD, New London, NH 03257-5736
- Phone Number
- 603-526-2911
- Primary Taxonomy
- Physician Assistant, Surgical · 363AS0400X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 24, 2005
- Last Update Date
- January 8, 2020
- Certification Date
- January 8, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 273 County RD
New London, NH 03257-5736 - City
- New London
- State
- New Hampshire
- Zip
- 03257-5736
- Phone Number
- 603-526-2911
Provider Business Mailing Address Details
- Address
- 273 County RD
New London, NH 03257-5736 - City
- New London
- State
- NH
- Zip
- 03257-5736
License Information
- License Number (1)
- 585
- License State (1)
- CO
- Taxonomy (1)
- Physician Assistant, Surgical · 363AS0400X
- License Number (2)
- 1188
- License State (2)
- NH
- Taxonomy (2)
- Physician Assistant, Surgical · 363AS0400X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Physician Assistant, Surgical providers near New London, NH
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- Tayvin Viratyosin, MDFamily Medicine · NPI 1205527348
- Julie M Mesiano, CRNANurse Anesthetist, Certified Registered · NPI 1437733003
- Dr. James E BuckmasterFamily Medicine · NPI 1366449159
- Darsie McpheeCounselor · NPI 1144130386
- Paige DidierCounselor · NPI 1952210940
Frequently Asked Questions
What is the NPI number of Jan Idzikowski, PA?
The NPI number of Jan Idzikowski, PA is 1629074505. It was assigned on June 24, 2005 and is currently active in the NPPES registry.
What is the specialty of Jan Idzikowski, PA?
Jan Idzikowski, PA is registered under the primary taxonomy Physician Assistant, Surgical (code 363AS0400X), licensed in CO under license number 585.
Where does Jan Idzikowski, PA practice?
The practice location is 273 County RD, New London, NH 03257-5736. The office can be reached at 603-526-2911 (phone).
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 1629074505 directly on the NPPES registry website.