| NPI | 1205851052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SIMON HENRY President 860-524-9820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2025-09-11 |