| NPI | 1982929816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARISSE D CLEMONS FERRARA Owner 860-303-9000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: CT 048178) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 048178) |
| Enumeration Date | 2010-04-03 |
| Last Update Date | 2010-04-11 |