| NPI | 1295856896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEAGAN MARIE CARON Practice Manager 603-625-2622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NH 7412) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: NH 03866) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2015-07-03 |