NPI | 1114375813 |
---|---|
Entity Type | Organization |
Authorized Contact | YAN HUO Acupuncturist 203-903-0471 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CT 000569) |
Enumeration Date | 2016-06-03 |
Last Update Date | 2016-06-03 |