| NPI | 1841485224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FIELDING JOHNSON Owner 860-727-8885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: CT 038695) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 038695) |
| 207RS0012X Internal Medicine, Sleep Medicine (Licence: CT 038695) | |
| 207RC0200X Internal Medicine, Critical Care Medicine (Licence: CT 038695) | |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2014-03-27 |