NPI | 1003996463 |
---|---|
Entity Type | Organization |
Authorized Contact | JACK REED President & CEO 860-284-5200 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
208000000X Pediatrics | |
2080P0206X Pediatrics, Pediatric Gastroenterology | |
225100000X Physical Therapist | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
363LF0000X Nurse Practitioner, Family | |
363LP0200X Nurse Practitioner, Pediatrics | |
363LA2200X Nurse Practitioner, Adult Health | |
363LP2300X Nurse Practitioner, Primary Care | |
364SA2200X Clinical Nurse Specialist, Adult Health | |
103TC0700X Psychologist, Clinical | |
207Y00000X Otolaryngology | |
207RS0012X Internal Medicine, Sleep Medicine | |
Enumeration Date | 2006-10-17 |
Last Update Date | 2008-08-06 |