| NPI | 1205083789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAGUED Y RIZKALLA Partner 603-918-6456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NH 10104) |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2008-08-26 |