| NPI | 1861902298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE A VARGA Founding Member 603-473-4001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2017-10-12 |