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 |