| NPI | 1215023577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD WILLIAM FRANK Owner 603-889-4149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NH 9566) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NH 9566) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2009-03-24 |