NPI | 1104126663 |
---|---|
Former Legal Business Name | URGENT CARE BY EMERGENCY DOCTORS LLC |
Entity Type | Organization |
Authorized Contact | ALEKSANDR GORENBEYN Partner 860-249-1570 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
Enumeration Date | 2010-10-29 |
Last Update Date | 2018-05-03 |