| NPI | 1720289929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHYLLIS T WILKEY Practice Manager 860-246-8881 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2010-10-22 |