| NPI | 1417556317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BASSEM O ABRAHAM Owner 203-548-7590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center Pain |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine |
| Enumeration Date | 2020-10-21 |
| Last Update Date | 2025-04-15 |