NPI | 1669995247 |
---|---|
Entity Type | Organization |
Authorized Contact | OKSANA KLOYZNER Owner Sole Proprietor 860-242-4000 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 39765) |
Enumeration Date | 2017-07-25 |
Last Update Date | 2017-08-15 |