Keith D. Jorgensen, Md, PA

NPI #1679588339 in Derry, New Hampshire

Provider Information

NPI Number: 1679588339
Entity Type: Organization
Organization Name: Keith D. Jorgensen, Md, PA
Primary Specialty: Otolaryngology
Enumeration Date: Jul 30, 2006
Last Updated: Jul 24, 2008

Practice Location

Address: 44 BIRCH ST
Address 2: SUITE 304
City: Derry
State: New Hampshire
ZIP Code: 03038-2752
Phone: (603) 432-8104

Authorized Official

Name: DR. KEITH D JORGENSEN, MD
Title: PRESIDENT
Phone: (603) 432-8104

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Otolaryngology	207Y00000X	Primary

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