NPI | 1649257957 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA G PINKERTON Office Manager 860-524-5905 |
Organization Subpart ? | No |
Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
Enumeration Date | 2005-12-28 |
Last Update Date | 2008-03-26 |