Individual
NICOLE S ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
130 PEMBROKE RD, CONCORD, NH 03301-5792
(603) 225-0123
Mailing address
PO BOX 2032, CONCORD, NH 03302-2032
Taxonomy
Speciality
Code
Description
License number
State
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
Primary
17652
NH
2084B0040X
Behavioral Neurology & Neuropsychiatry Physician
252896
MA
Other
Enumeration date
06/28/2012
Last updated
01/11/2019
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