Roger H Wicksman, DO Valid NPI
Individual provider · Pediatrics Physician · Concord, NH
- NPI
- 1033180708
- Type
- Individual (Type 1)
- Primary specialty
- Pediatrics Physician (Pediatrics)
- Specialty group
- Allopathic & Osteopathic Physicians
- Taxonomy code
- 208000000X
- License number
- 8067 (NH)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2006-01-30
- Last updated
- 2009-05-12
Practice location
248 Pleasant St, Suite 1700
Concord, NH 03301-2588
(603) 224-1929