| NPI | 1740379940 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS VAILAS Owner 603-232-4513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 367500000X Nurse Anesthetist, Certified Registered | |
| 207QS0010X Family Medicine, Sports Medicine | |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2025-05-29 |