NPI | 1568597128 |
---|---|
Entity Type | Organization |
Authorized Contact | VINCENT G CAPECE Sr VP Financr & Operations 860-344-6394 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
208000000X Pediatrics | |
207QG0300X Family Medicine, Geriatric Medicine | |
363AM0700X Physician Assistant, Medical | |
Enumeration Date | 2007-02-23 |
Last Update Date | 2020-08-22 |