| NPI | 1336362755 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR T BLUMER Member 860-628-5767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CT 15074) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |