| NPI | 1255338232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY VALENTE Vice President 860-763-7667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CT 0066) |
| Enumeration Date | 2005-07-05 |
| Last Update Date | 2020-08-22 |