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Contact Information

JEREMY A DZEN, DO
29 NORTHWEST BLVD
NASHUA, NH03063
 Phone: 603-577-5780
 Fax: 603-577-5780
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JEREMY A DZEN · (Male)

NPI # 1013083997
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 11/24/2006
Last updated 08/30/2011 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • NH License # 9243
  • NH Medicaid 40007221
Hospital affiliation(s)
  • SOUTHERN NH MEDICAL CENTER - (Acute Care)
    8 PROSPECT STREET
    NASHUA, NH 03060
  • ST JOSEPH HOSPITAL - (Acute Care)
    172 KINSLEY ST
    NASHUA, NH 03060
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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