| NPI | 1568680528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALKESH V PATEL Owner 860-276-8453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-12-28 |