Individual
JWAN OSSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-0001
(603) 650-5724
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2696
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
288135
MA
208M00000X
Hospitalist Physician
19909
NH
Other
Enumeration date
04/19/2016
Last updated
10/22/2021
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