| NPI | 1811025877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAVEN K SUCHDEV President & CEO 603-577-3003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: NH 10439) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2012-01-06 |