Individual
DR. MARC ROUX JORDAAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBCHB
Contact information
Practice address
ONE MEDICAL CENTER DR, DARTMOUTH HITCHCOCK MEDICAL CENTER - DEPT. RADIOLOGY, LEBANON, NH 03756-1000
(603) 650-7480
Mailing address
1 MEDICAL CENTER DR, DARTMOUTH HITCHCOCK MEDICAL CENTER - DEPT. RADIOLOGY, LEBANON, NH 03756-1000
(603) 650-7480
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
15107
NH
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/17/2008
Last updated
03/12/2011
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