| NPI | 1073736310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA STANDEN Practice Administrator 603-436-1773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 208600000X Surgery |
| 152W00000X Optometrist | |
| 174400000X Specialist | |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2022-11-09 |