# GARRISON MEDICAL PROFESSIONAL ASSOCIATION

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Garrison Women's Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033290994
- **Authorized official:** PAMELA S BERTRAM MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (603) 742-0101

## Contact information

- **Practice address:** 770 CENTRAL AVE, DOVER, NH 03820-3437
- **Practice address phone:** (603) 742-0101
- **Practice address fax:** (603) 743-3171
- **Mailing address:** 770 CENTRAL AVE, DOVER, NH 03820-3437
- **Mailing address phone:** (603) 742-0101
- **Mailing address fax:** (603) 743-3171

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 03/11/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 138620000 | — | ME |
| 01 | — | 200010998 | MVP | NH |
| 05 | — | 81163629 | — | NH |