Individual
ANDREW H. JEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-5000
Mailing address
PO BOX 810, HANOVER, NH 03755-0810
(603) 308-1472
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
01076750A
IN
207T00000X
Neurological Surgery Physician
Primary
24909
NH
207T00000X
Neurological Surgery Physician
37319
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201382010
—
IN
Enumeration date
07/24/2007
Last updated
11/15/2023
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