| NPI | 1124554860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOHAIL K MIRZA CEO 603-727-6647 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine (Licence: VA 0101261171) |
| Enumeration Date | 2017-05-01 |
| Last Update Date | 2017-05-01 |