| NPI | 1972476174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN TOMEK Manager 603-236-9867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery |
| Enumeration Date | 2025-09-25 |
| Last Update Date | 2026-03-17 |