| NPI | 1265540967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNEMARIE H DIAMOND President/CEO 860-928-6541 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: CT 0043) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: CT 0043) |
| 176B00000X Midwife | |
| 207Q00000X Family Medicine (Licence: CT 0043) | |
| 207R00000X Internal Medicine (Licence: CT 0043) | |
| 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CT 0043) | |
| 207RH0003X Internal Medicine, Hematology & Oncology (Licence: CT 0043) | |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 0043) | |
| 207V00000X Obstetrics & Gynecology (Licence: CT 0043) | |
| 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: CT 0043) | |
| 208000000X Pediatrics (Licence: CT 0043) | |
| 363L00000X Nurse Practitioner | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2017-11-17 |