| NPI | 1750444634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN STANLEY GILDERSLEEVE Md 860-228-1119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CT 038237) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2008-03-25 |