Individual
MRS. JENNIFER KOOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
100 CAMPUS DR, SUITE 12, PORTSMOUTH, NH 03801-5892
(603) 422-8208
(603) 422-8218
Mailing address
100 CAMPUS DR, SUITE 12, PORTSMOUTH, NH 03801-5892
(603) 422-8208
(603) 422-8218
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
11629
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3073175
—
NH
Enumeration date
09/08/2005
Last updated
07/23/2013
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