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Individual

DR. JACK HUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6 TSIENNETO RD, SUITE 203, DERRY, NH 03038-1584
(603) 434-7444
(603) 434-1733
Mailing address
6 TSIENNETO RD, SUITE 203, DERRY, NH 03038-1584
(603) 434-7444
(603) 434-1733

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
14586
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3082457
NH
Enumeration date
05/19/2006
Last updated
02/27/2017
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