| NPI | 1417167792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL R BOTSFORD Treasurer 603-669-0859 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NH 7865) |
| Additional Taxonomies | 174400000X Specialist (Licence: NH 6124) |
| 174400000X Specialist (Licence: NH 6351) | |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2020-08-22 |