Provider First Line Business Practice Location Address:
ONE MEDICAL CENTER DR
Provider Second Line Business Practice Location Address:
DARTMOUTH-HITCHCOCK MEDICAL CENTER DIV. OF PEDIATRIC
Provider Business Practice Location Address City Name:
LEBANON
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:
603-653-9883
Provider Business Practice Location Address Fax Number:
603-650-0908
Provider Enumeration Date:
10/19/2006