| NPI | 1134201437 |
|---|---|
| Former Legal Business Name | ST. LUKE'S FAMILY PRACTICE |
| Entity Type | Organization |
| Authorized Contact | JOSEPH J CREME President 860-928-7704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2020-08-22 |