| NPI | 1720603087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY R CZARNECKI Physician 860-922-3493 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RS0010X Internal Medicine, Sports Medicine | |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2020-06-12 |