Individual
DR. JONATHAN LEIF KILLAM
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) 650-5000
Mailing address
10 W END AVE, 8G, NEW YORK, NY 10023-7826
(917) 604-8807
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
D0068351
MD
2085R0202X
Diagnostic Radiology Physician
Primary
EL11796
NH
Other
Enumeration date
01/12/2009
Last updated
05/03/2023
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