| NPI | 1568597128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT G CAPECE Sr VP Financr & Operations 860-344-6394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2025-09-11 |