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Organization

DARTMOUTH-HITCHCOCK CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DANIEL P JANTZEN (CHIEF FINANCIAL OFFICER)
(603) 650-5668
Entity
Organization

Contact information

Practice address
9 BELMONT AVE, BRATTLEBORO, VT 05301-6613
(802) 257-8221
Mailing address
PO BOX 810, HANOVER, NH 03755-0810

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
207Q00000X
Family Medicine Physician
207QA0505X
Adult Medicine Physician
Primary
207R00000X
Internal Medicine Physician
207RC0000X
Cardiovascular Disease Physician
207RG0100X
Gastroenterology Physician
207RH0000X
Hematology (Internal Medicine) Physician
207RH0003X
Hematology & Oncology Physician
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
207RP1001X
Pulmonary Disease Physician
207RR0500X
Rheumatology Physician
207VE0102X
Reproductive Endocrinology Physician
208000000X
Pediatrics Physician
208800000X
Urology Physician

Other

Enumeration date
10/16/2006
Last updated
01/02/2018
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