| NPI | 1407286180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE MICHAEL CICCONE Physician 860-463-1975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: 030819) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2013-11-18 |