NPI | 1831141563 |
---|---|
Entity Type | Organization |
Authorized Contact | MARK R PRETE President/General Partner 860-496-6435 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine |
Additional Taxonomies | 363L00000X Nurse Practitioner |
Enumeration Date | 2006-05-17 |
Last Update Date | 2012-07-25 |