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Individual

ROGER B NOWAK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
55 HIGH ST STE 301, HAMPTON, NH 03842-2213
(603) 770-2633
Mailing address
55 HIGH ST STE 301, HAMPTON, NH 03842-2213
(603) 967-8033
(603) 601-6040

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
10688
NH
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
10688
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3076273
NH
Enumeration date
05/27/2006
Last updated
02/04/2021
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