Individual
JESSICA NIEWODOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
185 QUEEN CITY AVE, MANCHESTER, NH 03101-7121
(603) 627-1102
Mailing address
185 QUEEN CITY AVE, MANCHESTER, NH 03101-7121
(603) 627-1102
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
OP60590736
WA
208600000X
Surgery Physician
OS015160
PA
2086S0127X
Trauma Surgery Physician
Primary
22982
NH
Other
Enumeration date
09/16/2009
Last updated
08/31/2022
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