NPI | 1043482128 |
---|---|
Doing Business As | CVW BODY DESIGN CENTER - STAMFORD, LLC |
Entity Type | Organization |
Authorized Contact | LEIF O NORDBERG President 203-324-1971 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CT 349) |
Enumeration Date | 2008-03-28 |
Last Update Date | 2018-08-22 |