| NPI | 1386023828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN PAUL JESKE Owner 203-948-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CT 12.004592) |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2015-05-28 |