| NPI | 1003122011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD C ARCHIBOLD Owner 860-963-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: CT 036115) |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2010-08-27 |