| NPI | 1275933095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITHLESH GOVIL Owner / Physician 860-443-4455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| 363LA2200X Nurse Practitioner Adult Health | |
| 363LP2300X Nurse Practitioner Primary Care | |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2015-04-01 |