| NPI | 1629272695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLEN YUSE Office Manager 603-668-3509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NH 0139) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2008-05-19 |