| NPI | 1285806893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY LEE MILLER Office Manager 203-934-6066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NI0900X Chiropractor Internist (Licence: CT 000551) |
| Enumeration Date | 2008-03-24 |
| Last Update Date | 2008-03-26 |