Individual
THOMAS G ROUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
703 RIVERWAY PL, BEDFORD, NH 03110-6745
(603) 627-1661
(603) 669-6944
Mailing address
703 RIVERWAY PL, BEDFORD, NH 03110-6745
(603) 627-1661
(603) 669-6944
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
426P
NH
363A00000X
Physician Assistant
—
—
363AM0700X
Medical Physician Assistant
426P
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30331918
—
NH
Enumeration date
01/09/2007
Last updated
02/19/2025
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