| NPI | 1629616883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS VAILAS Owner 603-731-5589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0001X Internal Medicine, Clinical & Laboratory Immunology |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2024-02-29 |