| NPI | 1699654210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICAH ADERS Owner 603-854-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 2083X0100X Preventive Medicine, Occupational Medicine |
| Enumeration Date | 2025-08-28 |
| Last Update Date | 2025-08-28 |