| NPI | 1639274079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY L MAUCHLY Office Manager 603-536-1565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: NH 8934) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: VT 0320000417) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |