| NPI | 1154388627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL E BAUM President 860-928-2552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208C00000X Colon & Rectal Surgery |
| Enumeration Date | 2006-04-28 |
| Last Update Date | 2020-08-22 |