| NPI | 1851782312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK K DETWEILER Owner Of Practice 603-744-9430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NH 6919) |
| Enumeration Date | 2015-02-05 |
| Last Update Date | 2015-02-05 |