Provider First Line Business Practice Location Address:
ONE MEDICAL CENTER DR
Provider Second Line Business Practice Location Address:
DARTMOUTH HITCHCOCK MED CTR EMERGENCY DPTMT
Provider Business Practice Location Address City Name:
LEBNON
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03756-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-650-7254
Provider Business Practice Location Address Fax Number:
603-650-0473
Provider Enumeration Date:
07/29/2006