| 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 |