| NPI | 1356517908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIT MAHAJAN Director 203-685-6976 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: CT 040955) |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service (Licence: CT 040955) |
| Enumeration Date | 2008-05-04 |
| Last Update Date | 2008-05-04 |