| NPI | 1932367828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHUSHAN CHANDER GUPTA Physician Member 860-229-5477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: CT 019514) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2008-06-02 |