| NPI | 1609928183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE F. BEDARD Nurse Practitioner 860-928-0815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CT 001409) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |