Provider Demographics
NPI:1205271574
Name:TRUSTESS OF DARTMOUTH COLLEGE
Entity type:Organization
Organization Name:TRUSTESS OF DARTMOUTH COLLEGE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-DIRECTOR HEALTH SERVICES
Authorized Official - Prefix:DR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:H
Authorized Official - Last Name:TURCO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-646-9423
Mailing Address - Street 1:7 ROPE FERRY RD # 6143
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03755-1421
Mailing Address - Country:US
Mailing Address - Phone:603-646-9400
Mailing Address - Fax:603-646-9410
Practice Address - Street 1:7 ROPE FERRY RD # 6143
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:NH
Practice Address - Zip Code:03755-1421
Practice Address - Country:US
Practice Address - Phone:603-646-9400
Practice Address - Fax:603-646-9410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-05-01
Last Update Date:2013-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QS1000XAmbulatory Health Care FacilitiesClinic/CenterStudent Health