| NPI | 1811109259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK C MUSANTE Owner 860-572-7711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0400X (Licence: CT 1623) |
| Additional Taxonomies | 175F00000X Naturopath (Licence: CT 344) |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2007-05-06 |
| Last Update Date | 2020-08-22 |