| NPI | 1073687984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM A BERNIER Practice Administrator 860-243-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2015-05-18 |