| NPI | 1326582529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES BERRY Chief Financial Officer 603-526-4635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: VT 042.0009245) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2016-12-07 |