| NPI | 1003837360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODRIGO ACOSTA Md 203-977-2566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CT 027492) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2009-12-21 |