| NPI | 1528137445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HOLLAND BURCHENAL Owner 860-535-3245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 032153) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-08-22 |