Dr. Robert A. Nordgren MD - Pediatrics Physician in Manchester, New Hampshire | ProviderWire

Full Name

Dr. Robert Andrew Nordgren MD

NPI Number

1376616243

NPI Type

Individual Provider

Gender

Male

Enumeration Date

11/16/2006

Specialties

(Taxonomies)

Name

Pediatrics Physician

Code

208000000X

Primary Taxonomy

Yes

Licenses

State

New Hampshire

License Number

10962

Contact
Information

Purpose

Mailing

Location

Address

1245 ELM STREET

1245 ELM STREET

City

Manchester

Manchester

State

NH

NH

Postal Code

03101-1308

03101-1308

Country

US

US

Telephone Number

(603) 668-6629

(603) 668-6629

Identifiers

Identifier

30201573

Identifier State

NH

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 07/08/2007

Provider Address

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