| NPI | 1356411284 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY ANDERSON Md 860-646-2457 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CT 020769) |
| Additional Taxonomies | 208600000X Surgery (Licence: CT 043351) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2020-08-22 |