| NPI | 1871296459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANSOOR ANWER ZAIDI Owner 860-856-1225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2023-03-23 |
| Last Update Date | 2024-06-13 |