NPI | 1396287751 |
---|---|
Entity Type | Organization |
Authorized Contact | TATIANA FLEISCHMAN President 203-275-6666 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CT 049183) |
Enumeration Date | 2016-11-15 |
Last Update Date | 2016-11-15 |