Individual
PARISA R JORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2300 SOUTHWOOD DR, DHMC DEPARTMENT OF DERMATOLOGY, NASHUA, NH 03063-1818
(603) 577-4260
Mailing address
2300 SOUTHWOOD DR, DHMC DEPARTMENT OF DERMATOLOGY, NASHUA, NH 03063-1818
(603) 577-4260
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
16085
NH
207N00000X
Dermatology Physician
LT 3245
NH
207NS0135X
Procedural Dermatology Physician
16085
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1021347
—
VT
05
—
3082136
—
NH
Enumeration date
07/01/2009
Last updated
09/27/2016
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