| NPI | 1871886291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN MACMULLIN Practice Administrator 603-669-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NH 0827) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2011-05-18 |