| NPI | 1275987802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL HOUSH KOLLMORGEN Director, Medical Staff Office 860-291-6517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2019-11-08 |