| NPI | 1841485281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOZENA WALESKY Office Manager 860-223-6989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 022818) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2007-09-10 |