| NPI | 1194364083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY C DEFEO Partner 603-387-4523 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2020-06-03 |