| Doctor Name: | MRS. NICOLE MARIE SPECKHARD |
| NPI Number: | 1356644488 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA C |
| License Number: | |
| Business Practice Address: | 146 Hudson Rd Bolton, MA - 01740 |
| Business Phone Number: | 9787796262 |
| Business Fax Number: | 9787796264 |
| Mailing Address: | Po Box 415348, BOSTON |
| State: | MA |
| Postal Code: | 022415348 |
| Phone Number: | 8002258885 |
| Fax Number: | |
| NPI Enumeration Date: | 12/12/2010 |
| NPI Last Update Date: | 01/09/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |