| NPI | 1851587034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN HAROLD TRESS Owner 860-548-9293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CT 26116) |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2007-09-20 |