Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 12108 | NH |
N | 207X00000X | Orthopaedic Surgeon | A69435 | CA |
Y | 207XS0106X | Orthopaedic Hand Surgeon | 12108 | NH |
NPI | 1275625055 |
---|---|
Provider Name | Dr. Nicholas John Horangic |
First Address | Manchester, NH 03104-4125 |
Second Address | Manchester, NH 03104-4125 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 29/09/2006 |
Last Update Date | 12/02/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
3074887 | (05) | NH |
H63269 | (02) |