| NPI | 1023124625 |
|---|---|
| Former Legal Business Name | GI & INTERNAL MEDICINE ASSOC AND CONNECTICUT GASTROENTEROLOGY MEDICAL |
| Entity Type | Organization |
| Authorized Contact | JEFFREY L NESTLER President 860-246-2571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2023-07-05 |