| NPI | 1306083142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY R. CRISCUOLO Owner/President 860-859-5137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CT 030418) |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2009-01-15 |