| NPI | 1104052109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ANDREW WATSON Director 860-534-0678 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CA A98977) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2012-12-11 |