| NPI | 1033376330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN BIESTEK Owner 203-235-4462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CT 000994) |
| Enumeration Date | 2008-05-22 |
| Last Update Date | 2008-05-22 |