| NPI | 1326267154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER THOMAS PACIK President 603-669-0290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NH 4674) |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2012-07-31 |