Individual
JOHN EDWIN JAYNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, DHMC DEPARTMENT OF CARDIOLOGY, LEBANON, NH 03756-1000
(603) 650-6259
Mailing address
1 MEDICAL CENTER DR, DHMC DEPARTMENT OF CARDIOLOGY, LEBANON, NH 03756-1000
(603) 650-6259
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
9161
NH
207RI0011X
Interventional Cardiology Physician
Primary
9161
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0RE3233
—
VT
05
—
80003233
—
NH
Enumeration date
06/08/2006
Last updated
01/02/2015
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