| NPI | 1033176151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A PICHETTE Practice Manager 860-522-1101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center Radiology |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2011-02-09 |