| NPI | 1033142492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDER - MAHENDRAN Physician/President 860-928-3958 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 017690) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |