| NPI | 1437436177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARNOLD M KOFF Owner 860-675-6595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 009481) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 002626) |
| Enumeration Date | 2011-11-09 |
| Last Update Date | 2016-08-25 |