| NPI | 1518140870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK STARK Office Manager 603-924-2144 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2008-05-19 |