Individual
JOLENE JAN SHUMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
150 MARKETPLACE BLVD, ROCHESTER, NH 03867-4386
(603) 516-4212
(603) 516-4213
Mailing address
PO BOX 412503, BOSTON, MA 02241-2503
(617) 726-3884
(617) 643-7961
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
12145
NH
207Q00000X
Family Medicine Physician
MD17752
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3073988
—
NH
Enumeration date
12/08/2005
Last updated
08/23/2023
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