NPI | 1033399035 |
---|---|
Former Legal Business Name | HEALY, MACINSKI, RAO, & WADE MDS, PC |
Entity Type | Organization |
Authorized Contact | ZACHARY MACINSKI Supervisor 860-522-3711 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CT 008549) |
Enumeration Date | 2007-11-07 |
Last Update Date | 2013-12-02 |