| NPI | 1679667604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST LUKE SQUATRITO Physician/Owner 860-659-5999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 000536) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2020-08-22 |