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