| NPI | 1578004420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGNES TORRES LYNCH Nurse Practitioner 860-794-9814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL 9445814) |
| Enumeration Date | 2017-03-12 |
| Last Update Date | 2017-03-12 |