| NPI | 1194165720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAMI BAYAN Internist /Director 860-754-7407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 046285) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: CT 46181) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2013-06-27 |