| NPI | 1184995144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GUTMAN Medical Director 860-236-3911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 207P00000X Emergency Medicine | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2012-01-23 |
| Last Update Date | 2014-02-05 |