| NPI | 1245479948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JYOJI T BRISTOL Owner/Sole Proprietor 860-818-6668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 040914) |
| Enumeration Date | 2009-02-19 |
| Last Update Date | 2009-02-19 |