| NPI | 1437359759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP A MICALIZZI Doctor 203-372-6505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CT 026207) |
| Enumeration Date | 2007-07-24 |
| Last Update Date | 2007-10-07 |