| NPI | 1568056984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLI ALLEN-DUNN Director, Medical Staff & Credentia 860-837-5561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 2080N0001X Pediatrics Neonatal-Perinatal Medicine | |
| 2080P0203X Pediatrics Pediatric Critical Care Medicine | |
| 2080P0204X Pediatrics Pediatric Emergency Medicine | |
| 2080P0205X Pediatrics Pediatric Endocrinology | |
| 2080P0206X Pediatrics Pediatric Gastroenterology | |
| 2080P0207X Pediatrics Pediatric Hematology-Oncology | |
| 2080P0208X Pediatrics Pediatric Infectious Diseases | |
| 2080P0210X Pediatrics Pediatric Nephrology | |
| 2080P0214X Pediatrics Pediatric Pulmonology | |
| 363A00000X Physician Assistant | |
| 363LP0200X Nurse Practitioner Pediatrics | |
| Enumeration Date | 2021-02-25 |
| Last Update Date | 2023-12-05 |