| NPI | 1275721557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JOSEPH MAZZUCCO Manager 203-757-1580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: CT 031891) |
| Enumeration Date | 2007-10-11 |
| Last Update Date | 2007-10-11 |