| NPI | 1376585935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON LAHOUSE Office Manager 860-657-0764 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 031112) |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2014-03-25 |