| NPI | 1154554483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK W. IZARD M.D./President 860-246-8861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 010196) |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2009-12-11 |