| NPI | 1265472583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAHEEN AHMED Owner 860-643-5218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2014-12-16 |