| NPI | 1114926169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT BERNSTEIN President 860-524-1055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2022-07-21 |