| NPI | 1295169589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NYDIA GONZALEZ Nurse Practitioner 860-695-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: CT 363FL0000X) |
| Enumeration Date | 2013-08-22 |
| Last Update Date | 2013-08-22 |