NPI | 1043409741 |
---|---|
Entity Type | Organization |
Authorized Contact | KERRI ATWOOD Billing Dept. 860-823-1363 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics (Licence: CT 031570) |
Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: CT 031570) |
Enumeration Date | 2007-10-18 |
Last Update Date | 2007-10-18 |