NPI | 1760690101 |
---|---|
Entity Type | Organization |
Authorized Contact | SURENDRA KHERA Chief Medical Officer 860-714-4361 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
Enumeration Date | 2007-05-18 |
Last Update Date | 2016-03-11 |