| NPI | 1174782767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL LOHR Vice President 860-889-8331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 208C00000X Colon & Rectal Surgery | |
| 208600000X Surgery | |
| 208000000X Pediatrics | |
| 207R00000X Internal Medicine | |
| 208200000X Plastic Surgery | |
| 2082S0105X Plastic Surgery, Surgery of the Hand | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2008-06-09 |
| Last Update Date | 2012-10-04 |