| NPI | 1003152984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS KELLY President 203-826-2140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 208D00000X General Practice |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2024-06-03 |