| NPI | 1093909871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN FAITH LAWRENCE Office Manager 860-738-3398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: 031325) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2008-08-29 |