| NPI | 1093930539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN LAURIE KELLIHER Pediatric Pa 860-525-4640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CT 000238) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2008-07-31 |