| NPI | 1629021860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL RISSI CEO 860-442-0711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363LF0000X Nurse Practitioner, Family | |
| 364SA2100X Clinical Nurse Specialist, Acute Care | |
| 207P00000X Emergency Medicine | |
| 208200000X Plastic Surgery | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2010-04-29 |