| NPI | 1275654162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA E QUINONES Owner 860-570-4882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 044164) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 002324) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2018-06-11 |