| Dartmouth Medical School | |
|
33 Rip Rd Hanover NH 03755-1616 | |
| (603) 643-2903 | |
| Not Available |
| Full Name | Dartmouth Medical School |
|---|---|
| Speciality | Psychiatry & Neurology - Geriatric Psychiatry |
| Location | 33 Rip Rd, Hanover, New Hampshire |
| Authorized Official Name and Position | Wiley W. Souba (DEAN) |
| Authorized Official Contact | 6036501200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dartmouth Medical School 33 Rip Rd Hanover NH 03755-1616 Ph: (603) 643-2903 | Dartmouth Medical School 33 Rip Rd Hanover NH 03755-1616 Ph: (603) 643-2903 |
| NPI Number | 1669737805 |
|---|---|
| Provider Enumeration Date | 07/12/2012 |
| Last Update Date | 07/12/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669737805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | 4476 (New Hampshire) | Primary |
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