Individual
JOHN NICEFORO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
113 CASTLE HILL RD, WINDHAM, NH 03087-1747
(978) 835-8042
(603) 880-3099
Mailing address
113 CASTLE HILL RD, WINDHAM, NH 03087-1747
(978) 835-8042
(603) 880-3099
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
67572
CT
2085R0202X
Diagnostic Radiology Physician
73083
MA
2085R0202X
Diagnostic Radiology Physician
9427
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30008393
—
NH
05
—
3143473
—
MA
Enumeration date
09/19/2005
Last updated
05/14/2021
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