| NPI | 1306505094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL IKEMIRE CEO 603-247-5442 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2021-12-10 |
| Last Update Date | 2022-12-03 |