| NPI | 1013366186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN O. ENDERLE Authorized Official 860-221-0793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0002X Internal Medicine Hospice and Palliative Medicine |
| Additional Taxonomies | 207PH0002X Emergency Medicine Hospice and Palliative Medicine |
| 207Q00000X Family Medicine | |
| 207QA0505X Family Medicine Adult Medicine | |
| 2081H0002X Physical Medicine & Rehabilitation Hospice and Palliative Medicine | |
| Enumeration Date | 2016-06-08 |
| Last Update Date | 2016-06-08 |