person
Jan Idzikowski, PA
Surgical Physician Assistant in New London, New Hampshire
NPI 1629074505

Jan Idzikowski is a Surgical Physician Assistant based in New London, NH and is specialized in Surgical. 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 (New Hampshire).

The current practice location address for Jan Idzikowski is 273 County Rd, New London, NH and can be reached out via phone at 603-526-2911.

Location: 273 County Rd, New London, NH, 03257-5736
person
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
Fax Number
Provider Enumeration Date
06/24/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
42889057 05 CO
institution
Provider Business Practice Location Address Details
Address
273 County Rd
City
State
Zip
03257-5736
Phone Number
603-526-2911
Fax Number
person
Provider Business Mailing Address Details
Address
273 County Rd
City
State
Zip
03257-5736
Phone Number
603-526-2911
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
585 (Colorado)
Definition
Definition to come...
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