| NPI | 1962678169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GENOVESI Authorized Official 860-224-6266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2016-03-08 |