| 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 |