| NPI | 1326198102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL JAMES PATRISSO Owner 603-524-8660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NH 03021) |
| Additional Taxonomies | 174400000X Specialist (Licence: NH 7001) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2007-11-08 |