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Organization

NORTH COUNTRY RADIOLOGY PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KAREN COLLETTE JENSEN MD (PRESIDENT)
(603) 383-4950
Entity
Organization

Contact information

Practice address
14 ADAMS ROAD, JACKSON, NH 03846-0482
(603) 383-4950
Mailing address
PO BOX 482, JACKSON, NH 03846-0482
(603) 383-4950

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
7198
NH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000520
VT
05
99004028
NH
Enumeration date
03/13/2007
Last updated
02/20/2008
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