| NPI | 1609312644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JONATHAN STEIN Sole Member Owner 603-458-2233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 7661) |
| Enumeration Date | 2017-01-15 |
| Last Update Date | 2017-12-14 |