| NPI | 1598070401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VARALAKSHMI VENKATACHALAM Owner 860-586-7825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 041070) |
| Enumeration Date | 2010-08-16 |
| Last Update Date | 2010-08-16 |