| NPI | 1679628820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNE FLIRI Manager 860-536-6442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2008-05-28 |