| 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 |