| NPI | 1780862912 |
|---|---|
| Doing Business As | GRANITE STATE INTERNAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ANDRE THERRIEN Controller 603-663-8779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-02-11 |