| NPI | 1588844591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA KANE Vice President 860-442-0711 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 363LN0000X Nurse Practitioner, Neonatal | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 207QS1201X Family Medicine, Sleep Medicine | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 363LA2100X Nurse Practitioner, Acute Care | |
| 103G00000X Clinical Neuropsychologist | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 207Q00000X Family Medicine | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2013-05-08 |