| NPI | 1174549257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH STONE Authorized Agent 203-384-3072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2009-10-27 |