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Contact Information

JASON R PETTUS, MD
ONE MEDICAL CENTER DR
DARTMOUTH-HITCHCOCK MEDICAL CENTER, DEPT. OF PATHOLOGY
LEBANON, NH03756-1000
 Phone: 603-650-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for JASON R PETTUS · (Male)

NPI Number 1841464120
Status Active
Credentials MD
Entity Individual
Enumeration date 04/17/2008
Last updated 09/09/2013 - About 13 years ago
Sole proprietor 1 No
Identifiers
  • MA License # 250580
  • NH License # 16131
  • NH Medicaid 3086997
  • VT Medicaid 1021925
Hospital affiliation(s)
  • ANDROSCOGGIN VALLEY HOSPITAL - (Critical Access)
    59 PAGE HILL ROAD
    BERLIN, NH 03570
  • MARY HITCHCOCK MEMORIAL HOSPITAL - (Acute Care)
    1 MEDICAL CENTER DRIVE
    LEBANON, NH 03756
  • WEEKS MEDICAL CENTER - (Critical Access)
    173 MIDDLE STREET
    LANCASTER, NH 03584
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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