NPI | 1538053400 |
---|---|
Doing Business As | HEARTWOOD |
Entity Type | Organization |
Authorized Contact | SUSAN N GRAMMATICO Owner/Physician 860-488-4863 |
Organization Subpart ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Enumeration Date | 2025-06-05 |
Last Update Date | 2025-06-05 |