NPI | 1255383907 |
---|---|
Entity Type | Organization |
Authorized Contact | VIRGINIA M TJAN-WETTSTEIN Physician/Owner 860-589-4673 |
Organization Subpart ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
Enumeration Date | 2006-05-17 |
Last Update Date | 2007-09-04 |