Provider Demographics
NPI:1912285800
Name:BICKFORD, ANDREA M (DO)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:M
Last Name:BICKFORD
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:20 CHAMBERS DR STE 1200
Mailing Address - Street 2:
Mailing Address - City:HOOKSETT
Mailing Address - State:NH
Mailing Address - Zip Code:03106-1981
Mailing Address - Country:US
Mailing Address - Phone:603-624-8652
Mailing Address - Fax:603-624-6609
Practice Address - Street 1:20 CHAMBERS DR STE 1200
Practice Address - Street 2:
Practice Address - City:HOOKSETT
Practice Address - State:NH
Practice Address - Zip Code:03106-1981
Practice Address - Country:US
Practice Address - Phone:603-624-8652
Practice Address - Fax:603-624-6609
Is Sole Proprietor?:No
Enumeration Date:2011-07-27
Last Update Date:2019-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS016540207Q00000X, 207V00000X
NH19049207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology