| NPI | 1598912164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGOSTINO ANDREW VILLANI President & CEO 860-793-3302 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CT 000000001) |
| Enumeration Date | 2008-08-26 |
| Last Update Date | 2008-08-26 |