| NPI | 1467541805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE MARIE CLOUTIER Director 860-545-9442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0214X Pediatrics, Pediatric Pulmonology (Licence: CT 026130) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2007-09-11 |