| NPI | 1265894299 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAUN TOOMEY Resident 603-493-5076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2016-03-29 |