| NPI | 1225867161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE KANNLER CEO 603-290-2188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2024-07-30 |
| Last Update Date | 2024-07-30 |