| NPI | 1487190013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN E SADOWSKI Sole Owner 860-763-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 006454) |
| Enumeration Date | 2017-01-06 |
| Last Update Date | 2022-01-31 |