| NPI | 1164057568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH ANN SPRAGUE Practice Manager 203-885-1441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2022-06-16 |