NPI | 1013061100 |
---|---|
Entity Type | Organization |
Authorized Contact | NANCY E HOFFMAN Practice Manager 860-423-5808 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 019808) |
Enumeration Date | 2007-01-23 |
Last Update Date | 2020-08-22 |