| NPI | 1023170529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP P FICHERA Medical Doctor 603-598-2522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 8812) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-08-22 |