Provider First Line Business Practice Location Address:
2531 WHITE MOUNTAIN HIGHWAY, SUITE A
Provider Second Line Business Practice Location Address:
WHITE MOUNTAIN MEDICAL CENTER
Provider Business Practice Location Address City Name:
SANBORNVILLE
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03872
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-994-6465
Provider Business Practice Location Address Fax Number:
603-522-3457
Provider Enumeration Date:
11/10/2005