| NPI | 1851396006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD LEE SULS Owner 603-622-2112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NH 9753) |
| Additional Taxonomies | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: NH 9753) |
| Enumeration Date | 2005-06-15 |
| Last Update Date | 2019-06-27 |