| NPI | 1457573933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HOULE Vice President/CFO 860-523-3895 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 363L00000X Nurse Practitioner | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LG0600X Nurse Practitioner, Gerontology | |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2013-09-04 |