Provider Demographics
NPI:1790761773
Name:FICHERA, PHILLIP P (MD)
Entity Type:Individual
Prefix:DR
First Name:PHILLIP
Middle Name:P
Last Name:FICHERA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:208 ROBINSON ROAD
Mailing Address - Street 2:DARTMOUTH HITCHCOCK - FAMILY MEDICINE
Mailing Address - City:HUDSON
Mailing Address - State:NH
Mailing Address - Zip Code:03051
Mailing Address - Country:US
Mailing Address - Phone:603-577-3410
Mailing Address - Fax:
Practice Address - Street 1:208 ROBINSON ROAD
Practice Address - Street 2:DARTMOUTH HITCHCOCK - FAMILY MEDICINE
Practice Address - City:HUDSON
Practice Address - State:NH
Practice Address - Zip Code:03051
Practice Address - Country:US
Practice Address - Phone:603-577-3410
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-21
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH8812207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NHF43395Medicare UPIN