NPI | 1790447720 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA MARIE MACK Director Of Operations/Compliance 603-757-1718 |
Organization Subpart ? | No |
Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
Enumeration Date | 2021-10-07 |
Last Update Date | 2021-10-21 |