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Individual

DR. JOHN D HUBBARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 MEDICAL CENTER DR, DH - RADIOLOGY, LEBANON, NH 03756-1000
(603) 650-4371
(603) 650-5455
Mailing address
1 MEDICAL CENTER DR, DH - RADIOLOGY, LEBANON, NH 03756-1000
(603) 650-4371

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
01060697A
IN
2085R0202X
Diagnostic Radiology Physician
Primary
16276
NH
2085R0202X
Diagnostic Radiology Physician
TP665
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000549643
BCBS
KY
05
1022697
VT
05
200521350A
IN
05
3094287
NH
05
7100028650
KY
Enumeration date
06/16/2006
Last updated
04/07/2014
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