| NPI | 1932382355 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JYL BRADLEY Administrator 603-543-3501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NH NH7849) |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2008-03-04 |