Graduated: 2018
NPI: 1841758141
Practice Locations (3)
107 NEWPORT RD
NEW LONDON, NH 032575415
6035264077256
107 NEWPORT RD, PO BOX 2209
NEW LONDON, NH 032575415
MID-STATE HEALTH CENTER
101 BOULDER POINT DR, SUITE 1
PLYMOUTH, NH 032643170
60353640001004
Source: CMS National Downloadable File, September 2026.