NPI | 1366893216 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS KELLY Owner 860-357-6899 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: CT 261QU0200X) |
Additional Taxonomies | 208D00000X General Practice |
Enumeration Date | 2016-06-22 |
Last Update Date | 2024-06-03 |