| NPI | 1720194053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER DONAHUE Chief Medical Officer 860-284-5207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 207RG0100X Internal Medicine, Gastroenterology | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 225100000X Physical Therapist | |
| 2080P0206X Pediatrics, Pediatric Gastroenterology | |
| 364SA2200X Clinical Nurse Specialist, Adult Health | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LA2200X Nurse Practitioner, Adult Health | |
| 363LF0000X Nurse Practitioner, Family | |
| 363LP0200X Nurse Practitioner, Pediatrics | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2023-09-29 |