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Individual

PETER S DICKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
928 SOUTH ST, EDGEWOOD CTR, PORTSMOUTH, NH 03801
(603) 679-1083
Mailing address
PO BOX 158, KITTERY POINT, ME 03905-0158
(603) 679-1083

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
8075
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
80000057
NH
Enumeration date
02/22/2008
Last updated
11/16/2010
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