| NPI | 1568287852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILIN BAI Director 860-882-8173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2024-11-20 |
| Last Update Date | 2024-11-20 |