| NPI | 1124117908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE FONG-BRETON Owner 860-749-2251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2008-04-20 |