| NPI | 1588102602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY O'CALLAGHAN Practice Admin 603-812-3682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MA PA6024) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2021-09-29 |