Facts
- Status
- A
- Type
- Individual
- Enumeration date
- 2011-09-21
- Last updated
- 2011-09-21
Specialties
Licenses
- License NH
- 2804
Location
- Practice location
- 1298 HOOKSETT RD
- City
- HOOKSETT NH
- Postal code
- 031061842
- Phone
- 603-647-2846
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
The OIG NPI list is not in this build yet. Confirm on OIG's search.
Nearby
Search this city from the state hub for other records in the public registry.
Removal request
Public data from NPPES and CMS. Not a credentialing determination.