| NPI | 1134740566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRA DICAMILLO Manager 203-456-5717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2020-04-27 |
| Last Update Date | 2020-04-27 |