| Organization Name: | NATE F DELISI DO PC |
| NPI Number: | 1841479433 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | NATE F DELISI (SOLE DIRECTOR) |
| Mailing Address: | 11 Kimball Dr Unit 127 Hooksett |
| State: | NH US |
| Postal Code: | 031062604 |
| Phone Number: | 6036267900 |
| Fax Number: | 6036261780 |
| NPI Enumeration Date: | 10/30/2007 |
| NPI Last Update Date: | 09/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 204D00000X |
| License Number: | 7313 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NH |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Neuromusculoskeletal Medicine & OMM |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |