| NPI | 1568267144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH M ACLOQUE Nurse Practitioner 860-514-6368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2025-02-17 |
| Last Update Date | 2025-05-03 |