Provider First Line Business Practice Location Address:
29 HAZEN DRIVE
Provider Second Line Business Practice Location Address:
NH DHHS DISABILITY MEDICAID DETERMINATION UNIT
Provider Business Practice Location Address City Name:
CONCORD
Provider Business Practice Location Address State Name:
NH
Provider Business Practice Location Address Postal Code:
03301
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
603-271-4445
Provider Business Practice Location Address Fax Number:
800-271-4376
Provider Enumeration Date:
05/31/2013