| NPI | 1073943668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEMANT K PANCHAL Owner 860-749-7603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 032413) |
| Additional Taxonomies | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CT 032413) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2013-11-18 |