| NPI | 1770734766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUISE M MALONEY Dr. Louise M. Maloney 860-767-9940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CT 028466) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2008-10-08 |