| NPI | 1679776876 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALTAF RASOOL Owner 860-889-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: CT 034177) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 034177) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2007-07-20 |