| NPI | 1376190850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAREN ANDERSON President 860-323-0172 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207N00000X Dermatology |
| 207Q00000X Family Medicine | |
| 207SG0201X Medical Genetics, Clinical Genetics (M.D.) | |
| 207W00000X Ophthalmology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 208800000X Urology | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2024-10-03 |