NPI | 1275616500 |
---|---|
Former Legal Business Name | PEAK INTERNAL MEDICINE |
Entity Type | Organization |
Authorized Contact | LISA MARIE HATZOS Proprietor 603-890-0266 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NH 10943) |
Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site (Licence: NH 10943) |
Enumeration Date | 2006-10-23 |
Last Update Date | 2008-01-07 |