| NPI | 1366555658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IVAN STEPHEN LOWENTHAL Physician 860-482-5384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 18789) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2018-06-21 |