NPI | 1124131636 |
---|---|
Entity Type | Organization |
Authorized Contact | MEAGHAN WATSON Administrator 860-793-8500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy (Licence: CT 0291) |
Enumeration Date | 2006-08-17 |
Last Update Date | 2020-08-22 |