| NPI | 1386976819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE DICINE Office Manager 203-324-3504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CT 019967) |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2010-05-05 |