| NPI | 1427089598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH BECKER Vice President, Finance 860-545-7602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RS0010X Internal Medicine, Sports Medicine |
| 207Q00000X Family Medicine | |
| 208600000X Surgery | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 363L00000X Nurse Practitioner | |
| 363A00000X Physician Assistant | |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207X00000X Orthopaedic Surgery | |
| 207Y00000X Otolaryngology | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2012-08-24 |