| NPI | 1073627329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY WADDINGTON Executive Director 603-472-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 207T00000X Neurological Surgery |
| 207X00000X Orthopaedic Surgery | |
| 207XX0005X Orthopaedic Surgery Sports Medicine | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2081P2900X Physical Medicine & Rehabilitation Pain Medicine | |
| 2085R0202X Radiology Diagnostic Radiology | |
| 225100000X Physical Therapist | |
| 2251X0800X Physical Therapist Orthopedic | |
| 2471M1202X Radiologic Technologist Magnetic Resonance Imaging | |
| 363A00000X Physician Assistant | |
| 363AS0400X Physician Assistant Surgical | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2024-04-24 |