| NPI | 1003922287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES E KALLAL Physician President 860-522-5712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: CT 027525) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2015-11-03 |