Provider Demographics
NPI:1376696328
Name:LAURIDSEN, JENS H (MD)
Entity Type:Individual
Prefix:DR
First Name:JENS
Middle Name:H
Last Name:LAURIDSEN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:19 THORNTON ST
Mailing Address - Street 2:P.O.BOX 2912
Mailing Address - City:SEABROOK
Mailing Address - State:NH
Mailing Address - Zip Code:03874-5108
Mailing Address - Country:US
Mailing Address - Phone:603-479-3261
Mailing Address - Fax:978-475-5524
Practice Address - Street 1:63 PARK ST
Practice Address - Street 2:SUITE #11
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-3662
Practice Address - Country:US
Practice Address - Phone:978-475-7700
Practice Address - Fax:978-475-5524
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-20
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MA36347207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease