| NPI | 1417706482 |
|---|---|
| Former Legal Business Name | P. NICHOLAS VAN LOAN, MD |
| Entity Type | Organization |
| Authorized Contact | ANNEKE L MCSTOWE Owner 603-738-4468 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2024-05-14 |