| NPI | 1043522360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS R CRUZ President 203-624-2117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: CT 016660) |
| Enumeration Date | 2010-07-02 |
| Last Update Date | 2010-07-02 |