| NPI | 1659511046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH J BOTTA Physician/Owner 860-779-5093 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 040605) |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: CT 040605) |
| Enumeration Date | 2009-02-25 |
| Last Update Date | 2009-02-25 |