| NPI | 1740461730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMTU KARRENBAUER Physician/Owner 860-633-5115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 039974) |
| Enumeration Date | 2007-11-18 |
| Last Update Date | 2008-08-14 |