NPI | 1194966556 |
---|---|
Doing Business As | POMFRET STREET FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | ROBERT E SMANIK CEO 860-928-6541 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2009-03-16 |
Last Update Date | 2009-03-16 |