NPI | 1760165930 |
---|---|
Entity Type | Organization |
Authorized Contact | MILOS TOMIC Member 860-645-0145 |
Organization Subpart ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2023-08-14 |
Last Update Date | 2025-04-06 |