| NPI | 1023191467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE MACKIE VP Of Finance 860-425-8755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 208M00000X Hospitalist |
| 261QC1500X Clinic/Center Community Health (Licence: CT 0061) | |
| 261QE0002X Clinic/Center Emergency Care (Licence: CT 0061) | |
| 261QP2000X Clinic/Center Physical Therapy (Licence: CT 0061) | |
| 261QR0200X Clinic/Center Radiology (Licence: CT 0061) | |
| 282N00000X General Acute Care Hospital (Licence: CT 0061) | |
| 363LN0000X Nurse Practitioner Neonatal | |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2023-04-12 |