| NPI | 1912056292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN ANDERSON Office Manager 860-582-3235 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2015-02-24 |