NPI | 1982939682 |
---|---|
Entity Type | Organization |
Authorized Contact | CARLOS A BARBA Owner 860-714-7447 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery |
Additional Taxonomies | 363AS0400X Physician Assistant Surgical |
363L00000X Nurse Practitioner | |
Enumeration Date | 2009-10-14 |
Last Update Date | 2009-10-26 |