| NPI | 1073959664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLGA I COLON Owner/Administrator 860-247-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 003016) |
| Enumeration Date | 2013-05-22 |
| Last Update Date | 2013-05-22 |