| NPI | 1942594288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA C RENNA Owner 860-634-3821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 044363) |
| Additional Taxonomies | 207RG0300X Internal Medicine Geriatric Medicine (Licence: CT 044363) |
| 207RH0002X Internal Medicine Hospice and Palliative Medicine (Licence: CT 044363) | |
| Enumeration Date | 2011-06-03 |
| Last Update Date | 2012-04-24 |