| NPI | 1326439571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ENDERLE Senior Vice President 860-221-0793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 207QA0505X Family Medicine, Adult Medicine |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2015-02-10 |