| 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 |