| NPI | 1780718460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID J SHILING Office Administrator 860-886-1433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2011-11-01 |