| NPI | 1710169404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN BRAVERMAN President 860-354-5511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 021985) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 021985) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2007-12-04 |