| NPI | 1356717482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MARTIN Vice President Finance & Treasurer 860-358-6140 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 2086X0206X Surgery Surgical Oncology |
| 2086S0129X Surgery Vascular Surgery | |
| 207NS0135X Dermatology Procedural Dermatology | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 208C00000X Colon & Rectal Surgery | |
| 363LF0000X Nurse Practitioner Family | |
| Enumeration Date | 2015-08-12 |
| Last Update Date | 2017-09-11 |