| NPI | 1023291622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS C MCKELL Chief Administrative Officer 860-524-4326 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 208200000X Plastic Surgery |
| 208600000X Surgery | |
| 2086S0129X Surgery Vascular Surgery | |
| 208C00000X Colon & Rectal Surgery | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2007-12-06 |
| Last Update Date | 2010-08-11 |