| NPI | 1174557227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE L DE CARLO Practice Manager 860-545-5061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2010-12-01 |