| NPI | 1629132139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ANTHONY LOMBARDO Vice President 603-224-6691 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2020-08-22 |