Healthcare Provider Details

I. General information

NPI: 1205271574
Provider Name (Legal Business Name): TRUSTESS OF DARTMOUTH COLLEGE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2013
Last Update Date: 05/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 ROPE FERRY RD # 6143
HANOVER NH
03755-1421
US

IV. Provider business mailing address

7 ROPE FERRY RD # 6143
HANOVER NH
03755-1421
US

V. Phone/Fax

Practice location:
  • Phone: 603-646-9400
  • Fax: 603-646-9410
Mailing address:
  • Phone: 603-646-9400
  • Fax: 603-646-9410

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QS1000X
TaxonomyStudent Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JOHN H TURCO
Title or Position: CO-DIRECTOR HEALTH SERVICES
Credential: MD
Phone: 603-646-9423