| NPI | 1619254752 |
|---|---|
| Former Legal Business Name | MOUNT MORIAH MEDICAL CENTER |
| Entity Type | Organization |
| Authorized Contact | HAROLD EUGENE PHILLIPS Owner 860-405-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CT 036959) |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2011-11-03 |