| NPI | 1255845905 |
|---|---|
| Doing Business As | NORTH COUNTRY MEDICAL AND WELLNESS |
| Entity Type | Organization |
| Authorized Contact | NICHOLAS VAILAS Managing Member 603-622-3670 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2017-11-16 |