Individual
NATHAN H JORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
789 CENTRAL AVE, DOVER, NH 03820-2526
(603) 749-7246
(603) 749-2453
Mailing address
3998 FAIR RIDGE DR, STE 300, FAIRFAX, VA 22033-2921
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
9363
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30007945
—
NH
Enumeration date
12/28/2005
Last updated
03/19/2015
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