NPI | 1730455718 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARON ANNE MACMILLAN President 860-752-8713 |
Organization Subpart ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: MA 204995) |
Enumeration Date | 2012-03-24 |
Last Update Date | 2012-03-24 |