| NPI | 1972563138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT G. CAPECE CEO 860-358-6140 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207Q00000X Family Medicine | |
| 207QA0505X Family Medicine Adult Medicine (Licence: CT 53426) | |
| 207R00000X Internal Medicine | |
| 207RC0200X Internal Medicine Critical Care Medicine | |
| 207RI0200X Internal Medicine Infectious Disease | |
| 207RP1001X Internal Medicine Pulmonary Disease | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 208M00000X Hospitalist | |
| 363AM0700X Physician Assistant Medical | |
| 363L00000X Nurse Practitioner (Licence: CT 001743) | |
| 363LA2100X Nurse Practitioner Acute Care | |
| 363LA2200X Nurse Practitioner Adult Health | |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2019-04-03 |