| NPI | 1891984274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH L. BOUCHARD Practice Manager 860-749-4416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CT 042373) |
| Enumeration Date | 2007-10-22 |
| Last Update Date | 2007-10-22 |