| NPI | 1861584716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEVERLY A. BYRD Member 860-852-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 039292) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2022-05-19 |