| NPI | 1073717351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA LAURIE KWITTKEN President 860-354-0464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: CT 033471) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2012-09-28 |