NPI | 1508028010 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLEE M PRENDERGAST Office Manager 603-425-6530 |
Organization Subpart ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NH 8724) |
Additional Taxonomies | 231H00000X Audiologist (Licence: NH A363) |
Enumeration Date | 2008-06-26 |
Last Update Date | 2008-12-02 |