| NPI | 1609300912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN GRAMMATICO Sole Member 860-799-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CT 002547) |
| Enumeration Date | 2017-04-13 |
| Last Update Date | 2017-04-13 |