Provider First Line Business Practice Location Address:
302 NEWMARKET ST
Provider Second Line Business Practice Location Address:
VA PRIMARY CARE CLINIC PORTSMOUTH CBOC
Provider Business Practice Location Address City Name:
NEWINGTON
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03803
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
800-892-8384
Provider Business Practice Location Address Fax Number:
603-314-1679
Provider Enumeration Date:
04/26/2006