| NPI | 1073705232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH A SHEEHAN Office Manger 860-749-7437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: CT 038326) |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2007-10-12 |