| NPI | 1689931867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL M DEREN President 860-443-5469 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: CT 15198) |
| Enumeration Date | 2012-04-12 |
| Last Update Date | 2012-04-24 |