| NPI | 1235214826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA M TJAN-WETTSTEIN Physician / Owner 860-589-4673 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2007-09-04 |