| NPI | 1609865757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA M PETRONE Practice Manager 860-871-6939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: CT 026993) |
| Additional Taxonomies | 261QE0002X Clinic/Center, Emergency Care (Licence: CT 026993) |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2017-01-05 |