Provider First Line Business Practice Location Address:
1 MEDICAL CENTER DR
Provider Second Line Business Practice Location Address:
DARTMOUTH-HITCHCOCK MEDICAL CENTER
Provider Business Practice Location Address City Name:
LEBANON
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03756-1000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-653-9850
Provider Business Practice Location Address Fax Number:
603-650-0910
Provider Enumeration Date:
10/10/2006