NPI | 1134327836 |
---|---|
Former Legal Business Name | VINCENT P. MCMAHON OD |
Entity Type | Organization |
Authorized Contact | VINCENT P. MCMAHON Optometrist & Owner 603-352-7803 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: NH NH323) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NH 0384) |
Enumeration Date | 2007-07-05 |
Last Update Date | 2011-12-06 |