| NPI | 1376580258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG R. BUGGELN Physician/Owner 860-442-4442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 035420) |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2012-09-04 |