| NPI | 1891664660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL ASOMANING Nurse Practitioner 860-869-6536 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2025-10-31 |
| Last Update Date | 2025-10-31 |