| NPI | 1750033379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PASQUALE CANCELLIERE Medical Director 603-912-5473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2024-08-01 |