| NPI | 1528240108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GARY SCHWARTZ Owner 860-643-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 021190) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 003443) |
| Enumeration Date | 2007-12-05 |
| Last Update Date | 2007-12-05 |