| NPI | 1013005966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH L FOSTER Practice Manager 860-229-9688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2008-01-29 |