Individual
JACOB MOZIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5000
Mailing address
PO BOX 810, HANOVER, NH 03755-0810
(603) 308-1472
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2840
NH
363A00000X
Physician Assistant
—
—
Other
Enumeration date
06/26/2023
Last updated
08/01/2024
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