NPI | 1700983442 |
---|---|
Doing Business As | GERIATRIC HEALTH SERVICES |
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 |