| NPI | 1720396567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY BREITER CEO 860-502-4587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 021746) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2010-09-14 |