| 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 |