| NPI | 1881713337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KOFI ATTA-MENSAH Owner 860-714-2992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 26698) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 26698) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2008-12-09 |