Individual provider · NPI-1
Dr. Jillian C. Grigoryan-Koster, M.D.
Hospitalist · Concord, NH
NPI number1225419385
StatusActive
Last updated in NPPESSep 12, 2018
Details
- NPI
- 1225419385
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jillian C. Grigoryan-Koster
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jun 15, 2015
- Last updated
- Sep 12, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208M00000X | Hospitalist | 18862 | NH | Yes |
| 207Q00000X | Family Medicine | 18862 | NH |
Other names
- Jillian Koster (Former Name)
Practice location
250 Pleasant StConcord, NH 03301
Phone 603-227-7000 · Fax 603-227-7191
Mailing address
250 Pleasant StConcord, NH 03301-7539
Phone 603-227-7000 · Fax 603-227-7191
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