Individual
PETER J JENKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
87 MCGREGOR ST STE 2100, MANCHESTER, NH 03102-3767
(603) 626-7546
(603) 626-7548
Mailing address
526 MAIN ST STE 302, ACTON, MA 01720-3301
(789) 371-7010
(978) 371-0522
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
25285
NH
207N00000X
Dermatology Physician
MD00037526
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039576
LABOR & INDUSTRY
WA
01
—
070016647
RAILROAD MEDICARE
—
01
—
3312JE
BLUE SHIELD
WA
05
—
8249948
—
WA
01
—
US7199048
AETNA/USHC SPECIALIST
WA
Enumeration date
07/14/2006
Last updated
09/17/2024
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