| NPI | 1184777054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A. LONGO President 860-347-2608 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CT 45609) |
| Additional Taxonomies | 2086S0129X Surgery, Vascular Surgery (Licence: CT 45609) |
| 2086X0206X Surgery, Surgical Oncology (Licence: CT 45609) | |
| 208C00000X Colon & Rectal Surgery (Licence: CT 45609) | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CT 45609) | |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2020-08-22 |