| NPI | 1982751426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY S MILLER Physicianowner 860-496-1790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2016-03-14 |