Individual
NICK P PERENCEVICH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
246 PLEASANT ST, MEMORIAL BUILDING SUITE 205, CONCORD, NH 03301-2548
(603) 224-0284
(603) 225-5769
Mailing address
246 PLEASANT ST, MEMORIAL BUILDING SUITE 205, CONCORD, NH 03301-2548
(603) 224-0284
(603) 225-5769
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
6677
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000580
—
NH
Enumeration date
03/20/2006
Last updated
07/08/2007
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