| NPI | 1710133087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS PAUL VAN LOAN Business Owner 603-224-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 6630) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |