| NPI | 1922408608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARNEY D ROEMMELT Owner 603-583-4780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NH 11640) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2014-08-29 |