| NPI | 1558418707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONSTANTIN CARSELI Owner 860-859-3006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: CT 040484) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2023-03-07 |