| NPI | 1881936029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EWA GASZEK Credentialing Supervisor 860-282-4137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-03-26 |