| NPI | 1013456896 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZHAODI GONG Owner & Director 203-815-9916 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: CT 52543) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-05-26 |