| NPI | 1831823749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL BAGGEROER Owner 603-793-9263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2022-07-15 |
| Last Update Date | 2024-03-12 |