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General NPI Number Information
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NPI Number | 1356588420
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Entity Type | Individual
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Provider Name | JONATHAN LEIF KILLAM MD
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Gender | Male
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Dates
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Enumeration Date | 01/12/2009
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Last Update Date | 05/03/2023
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Provider Practice Location Address
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Address Line | 1 MEDICAL CENTER DR
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City | LEBANON
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State | NH
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Zip | 03756-0001
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Country | US
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Telephone | 603-650-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 10 W END AVE 8G
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City | NEW YORK
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State | NY
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Zip | 10023-7826
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Country | US
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Telephone | 917-604-8807
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | D0068351
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | EL11796
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License Number State | NH
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