NPI | 1053713800 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS ANZALONE Owner 203-531-5688 |
Organization Subpart ? | No |
Primary Taxonomy | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
Enumeration Date | 2014-09-24 |
Last Update Date | 2014-09-24 |