| NPI | 1770564262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IAN S. TUCKER President 860-684-8478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207R00000X Internal Medicine | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 208200000X Plastic Surgery | |
| 207V00000X Obstetrics & Gynecology | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2015-07-17 |