NPI | 1356348148 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA LYNN MARSHALKOWSKI Administrator/Director Of Nursing 860-679-6001 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CT 0288) |
Enumeration Date | 2005-07-07 |
Last Update Date | 2020-08-22 |