| NPI | 1134352263 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LOUIS CERCIELLO President 860-521-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CT 017263) |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology (Licence: CT 020686) |
| Enumeration Date | 2009-08-24 |
| Last Update Date | 2009-08-24 |