| NPI | 1376533588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSANNA HONG Authorized Official 860-358-2220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2017-05-10 |