| NPI | 1073884383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAVEEN SUCHDEV CEO/President 603-577-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2012-01-18 |
| Last Update Date | 2012-01-18 |