| NPI | 1700983442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH T ANQUILLARE Physician Owner 860-306-9733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363L00000X Nurse Practitioner | |
| 363LA2200X Nurse Practitioner Adult Health | |
| 363LG0600X Nurse Practitioner Gerontology | |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2013-03-04 |