Jan Idzikowski, PA
NPI #1629074505 in New London, New Hampshire
Provider Information
- NPI Number
- 1629074505
- Entity Type
- Individual
- Name
- Jan Idzikowski, PA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant - Surgical
- Credential
- PA
- Enumeration Date
- Jun 24, 2005
- Last Updated
- Jan 8, 2020
Practice Location
- Address
- 273 COUNTY RD
- City
- New London
- State
- New Hampshire
- ZIP Code
- 03257-5736
- Phone
- (603) 526-2911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant - Surgical — Surgical |
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