| NPI | 1275176620 |
|---|---|
| Doing Business As | BEAR POND FAMILY MEDICINE & PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | FRANCINE DEVINE YORK Owner 860-883-5129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics |
| Enumeration Date | 2019-10-17 |
| Last Update Date | 2019-10-18 |