| NPI | 1437407145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE M GORSKI Billing Manager 860-529-1363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 032042) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-08-28 |