| NPI | 1841651197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M HARRIS Regional Director Of Reimbursement 860-714-4396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| 207RG0100X Internal Medicine Gastroenterology | |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 207RR0500X Internal Medicine Rheumatology | |
| 207RS0012X Internal Medicine Sleep Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 208100000X Physical Medicine & Rehabilitation | |
| 2085R0202X Radiology Diagnostic Radiology | |
| 208600000X Surgery | |
| 213E00000X Podiatrist | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2016-03-15 |
| Last Update Date | 2021-01-18 |