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Organization
TRUSTEES OF DARTMOUTH COLLEGE
Active
Organization
TRUSTEES OF DARTMOUTH COLLEGE
Active
Other names
Dartmouth Hitchcock Psychiatry Assoc
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CANDIS L. TULLER (CREDENTIALING SPECIALIST)
(603) 653-1732
Entity
Organization
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-6176
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 650-6176
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Enumeration date
04/09/2007
Last updated
06/16/2016
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