NPI | 1093916546 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY CARRUTH Medical Director 203-876-8854 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CT 041160) |
Enumeration Date | 2007-05-31 |
Last Update Date | 2018-08-02 |