| NPI | 1386737625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH B. GALAN Sole Member 860-482-6513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 039116) |
| Enumeration Date | 2006-10-01 |
| Last Update Date | 2023-03-07 |