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NPI 1104952373

IndividualActive

Benjamin Nordstrom, MD, PHD

NPI 1104952373 · Psychiatry Physician · Lebanon, NH

Provider details

NPI number: 1104952373
Entity type: Individual
Primary specialty: Psychiatry PhysicianAllopathic & Osteopathic Physicians
Credential: MD, PHD
Sex: Male
Sole proprietor: No
License: 226027 (NY)

Practice location

1 Medical Center Drive

Lebanon, NH 03756

Phone: (603) 650-5574

More NH providers

Mailing address

1 Medical Center Drive

Lebanon, NH 03756

Registry dates

Enumerated: 2007-02-24
Last updated: 2012-01-05

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Benjamin Nordstrom, MD, PHD — NPI 1104952373, Lebanon, NH | NPI Central