| NPI | 1164646071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWRENCE N. GRAY Medical Director 603-431-8819 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NH 02579) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2012-02-03 |