| NPI | 1447337050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN GUSTAFSON Practice Manager 860-233-8589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 017368) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-12-31 |