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Contact Information

JAKOW DIENER, MD
360 BROOK RD
BETHLEHEM, NH03574-4342
 Phone: 603-616-9916
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for JAKOW DIENER · (Male)

NPI Number 1902872971
Status Active
Credentials MD
Entity Individual
Enumeration date 02/28/2006
Last updated 07/21/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • NH License # 12255
  • NH Medicaid 80300008
  • OH Medicaid 0196371
  • VT Medicaid 1010617
  • NH Other 01Y007264NH01 BLUE CROSS/BLUE SHIELD
  • NH Other 5414126 CIGNA HEALTHCARE
  • NH Other AA38042 HARVARD PILGRIM HEALTHCAR
  • NH Other 384132 MVP
Hospital affiliation(s) Not Available
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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