| NPI | 1336713890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | N. TIMOTHY PETERS Medical Director, Member 603-969-9297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2021-05-18 |
| Last Update Date | 2021-05-18 |