| 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 |