| NPI | 1700914918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN PATTAVINA Dpm 603-352-2944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NH 0263) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2018-01-05 |