| NPI | 1235207549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL G. GENOVESI Authorized Official 860-224-6266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2014-04-01 |