| NPI | 1891072757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL E. LOHR Member 860-823-6360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 208000000X Pediatrics |
| 208C00000X Colon & Rectal Surgery | |
| 207P00000X Emergency Medicine | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 208200000X Plastic Surgery | |
| 208600000X Surgery | |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2011-11-07 |
| Last Update Date | 2012-03-06 |