Individual
JAMES MAYNARD NICKERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
590 COURT ST, KEENE, NH 03431-1719
(603) 354-5466
(603) 354-5468
Mailing address
590 COURT ST, KEENE, NH 03431-1719
(603) 354-5466
(603) 354-5468
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
0420009373
VT
207RH0000X
Hematology (Internal Medicine) Physician
9781
NH
207RX0202X
Medical Oncology Physician
0420009373
VT
207RX0202X
Medical Oncology Physician
Primary
9781
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30009784
—
NH
Enumeration date
04/10/2006
Last updated
03/29/2012
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