| NPI | 1083904163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PERRY M PERRETZ Physician 203-544-9090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CT 041516) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 042785) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-04-11 |