| NPI | 1821436007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYETHRI NARAYANSWAMY Physician 860-375-5141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2021-09-14 |