| NPI | 1588859946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY KYLE CHARTIER Physician 860-676-1900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CT 039399) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2011-11-23 |