| NPI | 1194538330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAITLIN DOODY Family Nurse Practitioner 860-237-5511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2025-01-30 |
| Last Update Date | 2025-01-30 |