| NPI | 1760408835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA M PETRONE Office Manager 860-644-3491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: CT 24303) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 024303) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2008-05-19 |