Individual
JEFFREY K SHORNICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
18 OLD ETNA RD, DHMC - DERMATOLOGY, LEBANON, NH 03766-1937
(603) 650-3100
Mailing address
18 OLD ETNA RD, DHMC - DERMATOLOGY, LEBANON, NH 03766-1937
(603) 650-3100
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
023320
CT
207N00000X
Dermatology Physician
Primary
16806
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001233204
—
CT
Enumeration date
01/30/2006
Last updated
02/08/2017
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