| NPI | 1225215981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJEEV RAO Manager 203-610-1517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CT 039893) |
| Enumeration Date | 2008-01-24 |
| Last Update Date | 2008-01-24 |