| NPI | 1104960111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARON MAKER Office Manager 860-643-5102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2011-11-15 |