| NPI | 1245472604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAN SADA VODAPALLY Provider/Practice Director 203-624-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2019-03-26 |