| NPI | 1730571282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS O'CONNOR Doctor 860-904-6779 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CT 43720) |
| Enumeration Date | 2015-02-20 |
| Last Update Date | 2015-02-20 |