Individual
DR. JUSTIN JONATHAN MOWCHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER DR, NEUROLOGY, LEBANON, NH 03756-1000
(603) 650-5104
(603) 650-6233
Mailing address
1 MEDICAL CENTER DR, NEUROLOGY, LEBANON, NH 03756-1000
(603) 650-5104
(603) 650-6233
Taxonomy
Speciality
Code
Description
License number
State
2084A2900X
Neurocritical Care Physician
13876
NH
2084N0400X
Neurology Physician
0420011728
VT
2084N0400X
Neurology Physician
Primary
13876
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1016504
—
VT
05
—
3079142
—
NH
Enumeration date
09/20/2006
Last updated
10/14/2016
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