Provider Demographics
NPI:1902861032
Name:VOGEL, NICOLA M (MD)
Entity Type:Individual
Prefix:
First Name:NICOLA
Middle Name:M
Last Name:VOGEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 HOLLAND WAY FL 1
Mailing Address - Street 2:
Mailing Address - City:EXETER
Mailing Address - State:NH
Mailing Address - Zip Code:03833-2997
Mailing Address - Country:US
Mailing Address - Phone:603-418-0034
Mailing Address - Fax:603-658-1359
Practice Address - Street 1:9 BUZELL AVE STE 3
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-2522
Practice Address - Country:US
Practice Address - Phone:603-418-0034
Practice Address - Fax:603-658-1359
Is Sole Proprietor?:No
Enumeration Date:2006-04-20
Last Update Date:2019-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH14001207KA0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207KA0200XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyAllergy
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH3087958Medicaid
NH3087958Medicaid