NPI | 1588618185 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN HANSEN Practice Administrator 860-621-9316 |
Organization Subpart ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
Enumeration Date | 2006-05-19 |
Last Update Date | 2013-10-21 |