NPI | 1033206826 |
---|---|
Entity Type | Organization |
Authorized Contact | IONUT B ANTON Medical Doctor 203-596-1909 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CT 040407) |
Enumeration Date | 2006-10-05 |
Last Update Date | 2010-02-16 |