Individual
KENNETH A NIZZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1 ELLIOT WAY, MANCHESTER, NH 03103-3599
(603) 669-5300
Mailing address
1 ELLIOT WAY, MANCHESTER, NH 03103-3502
(603) 669-5300
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS013670
PA
208M00000X
Hospitalist Physician
OS013670
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016821500001
—
PA
01
—
10168215001
AMERICHOICE
PA
01
—
1351474
AETNA HMO
PA
01
—
1892624
BCBS
PA
01
—
2757672000
BCBS
PA
01
—
30035928
KEYSTONE MERCY
PA
01
—
5398144
CIGNA
PA
01
—
7394821
AETNA
PA
Enumeration date
07/04/2006
Last updated
02/23/2026
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