| NPI | 1538469499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KORT CHRISTOPHER KNUDSON President/Director 860-346-3308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CT 020696) |
| Enumeration Date | 2010-10-26 |
| Last Update Date | 2010-10-26 |