| NPI | 1841526068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GILBERTO RAMIREZ Medical Director 860-242-0034 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 018911) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 018911) |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2009-10-22 |
| Last Update Date | 2018-01-03 |