| NPI | 1518256452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECAHARA BARRAK CEO President 860-714-5415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: CT 018911) |
| Enumeration Date | 2011-03-31 |
| Last Update Date | 2018-03-17 |