| NPI | 1275507527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LINDENBERG Medical Director 860-489-2190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CT 0278) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2020-08-22 |