| NPI | 1154752129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA ANN LEVINE Manager 203-250-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CT 001415) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2013-12-02 |