| Trustees Of Dartmouth College | |
|
1 Medical Center Dr Lebanon NH 03756-1000 | |
| (603) 650-6176 | |
| Not Available |
| Full Name | Trustees Of Dartmouth College |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Medicine |
| Location | 1 Medical Center Dr, Lebanon, New Hampshire |
| Authorized Official Name and Position | Candis L. Tuller (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 6036531732 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Trustees Of Dartmouth College 1 Medical Center Dr Lebanon NH 03756-1000 Ph: (603) 650-6176 | Trustees Of Dartmouth College 1 Medical Center Dr Lebanon NH 03756-1000 Ph: (603) 650-6176 |
| NPI Number | 1336262930 |
|---|---|
| Provider Enumeration Date | 04/09/2007 |
| Last Update Date | 06/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336262930 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084A0401X | Psychiatry & Neurology - Addiction Medicine | (* (Not Available)) | Primary |
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