Organization
CHILD HEALTH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA DIBRIGIDA MD (CLINICAL DIRECTOR)
(603) 668-6629
Entity
Organization
Contact information
Practice address
1245 ELM ST, MANCHESTER, NH 03101-1308
(603) 668-6629
(603) 622-7680
Mailing address
1245 ELM ST, MANCHESTER, NH 03101-1308
(603) 668-6629
(603) 622-7680
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
0767
NH
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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