| NPI | 1417140922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER RICHARD CANNY Owner/Physician 203-287-0552 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: CT 020653) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2012-12-26 |