Individual
MR. MATTHEW O NICHOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
580 COURT ST, THE CHESHIRE MEDICAL CENTER (ER), KEENE, NH 03431-1718
(603) 354-5454
Mailing address
580 COURT ST, THE CHESHIRE MEDICAL CENTER (ER), KEENE, NH 03431-1718
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1102
NH
Other
Enumeration date
05/12/2015
Last updated
05/12/2015
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