| NPI | 1356538078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ERIC MCGINLEY-SMITH Physician/Member 603-398-2259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: VT 042-0011909) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2023-05-31 |