| NPI | 1124137328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN M ORDWAY Practice Administrator 860-346-8481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2023-11-21 |