| NPI | 1306376082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH J GARIEPY Sole Member 203-814-9160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CT 000441) |
| Enumeration Date | 2017-06-15 |
| Last Update Date | 2017-06-15 |