| NPI | 1720274541 |
|---|---|
| Former Legal Business Name | NONE |
| Entity Type | Organization |
| Authorized Contact | JOSEPH HANNA Owner Manager 860-649-7557 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: CT 17562) |
| Enumeration Date | 2007-09-16 |
| Last Update Date | 2008-01-11 |