Individual
NICOLE ROE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 740-2403
(603) 740-2497
Mailing address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 740-2503
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5101021884
MI
208M00000X
Hospitalist Physician
Primary
19606
NH
208M00000X
Hospitalist Physician
5101021884
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3117902
—
NH
Enumeration date
06/01/2015
Last updated
08/27/2019
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