NPI | 1104163070 |
---|---|
Entity Type | Organization |
Authorized Contact | ADAM KURISH President 603-373-0096 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 15882) |
Additional Taxonomies | 208000000X Pediatrics (Licence: NH 15882) |
Enumeration Date | 2013-01-11 |
Last Update Date | 2018-04-10 |