| NPI | 1821426099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY M. GINSBERG President 860-367-0087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 003528) |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2013-10-24 |