| NPI | 1447433677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ALAN FIGNAR Owner 860-745-1623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 040711) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: CT 002009) |
| 363A00000X Physician Assistant (Licence: CT 001809) | |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2008-05-02 |