| NPI | 1508065640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY D CIARDELLA President 860-621-6759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 024620) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: CT 34236) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-09-12 |