| NPI | 1356308019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JYL BRADLEY Administrator 603-543-3501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2007-12-07 |