Individual
BRIAN J JEFFERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
80 HIGHLAND ST, LACONIA, NH 03246-3235
(603) 527-2819
(603) 527-2984
Mailing address
80 HIGHLAND ST, LACONIA, NH 03246-3235
(603) 527-3211
(603) 527-7038
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
5712
NH
207R00000X
Internal Medicine Physician
Primary
5712
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00000570
—
NH
01
—
0100244Y0NH01
ANTHEM
NH
Enumeration date
01/31/2006
Last updated
09/11/2025
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