| NPI | 1346799939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON FAND Owner 203-824-8293 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CT 003322) |
| Enumeration Date | 2016-09-24 |
| Last Update Date | 2016-09-24 |