Organization
ALICE PECK DAY MEMORIAL HOSPITAL
Active
Parent organization
ALICE PECK DAY MEMORIAL HOSPITAL
Other names
Neurosurgery Service at APD
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALICE PECK DAY MEMORIAL HOSPITAL
Authorized official
SUSAN E MOONEY MD (CEO/PRESIDENT)
(603) 448-3121
Entity
Organization
Contact information
Practice address
106 HANOVER ST, LEBANON, NH 03766-1042
(603) 448-0447
(603) 448-0019
Mailing address
10 ALICE PECK DAY DR, LEBANON, NH 03766-2647
(603) 448-3121
(603) 448-7462
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
11711
NH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1018305
—
VT
05
—
30218589
—
NH
Enumeration date
06/29/2010
Last updated
04/25/2013
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