| NPI | 1003001850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY MARTIN MAIN Owner/Physician 860-536-1666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 031865) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-09-13 |