Individual
MR. JONATHAN LEE HOLZDEPFEL
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 ROUTE 1 BYPASS, PORTSMOUTH, NH 03801-5332
(603) 431-1121
(603) 431-3347
Mailing address
29 LAUREL LANE, NEW CASTLE, NH 03854
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
009855
ME
207X00000X
Orthopaedic Surgery Physician
0720966
MI
207X00000X
Orthopaedic Surgery Physician
Primary
6067
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
82206909
—
NH
Enumeration date
04/19/2006
Last updated
07/08/2007
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