| NPI | 1801941513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EILEEN CRUZ COMIA Owner 860-242-2200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 001184) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2015-04-03 |