| NPI | 1336101534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD P. HERMAN Director Of Operations & Finance 603-663-4904 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery |
| Additional Taxonomies | 207PE0005X Emergency Medicine Undersea and Hyperbaric Medicine |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2011-03-18 |