| NPI | 1700587987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYED SALMAN ALI Vice President 860-253-2617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2023-03-14 |