| NPI | 1447362769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN BAILEY Officer/AO 203-609-1168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QE0800X Clinic/Center, Endoscopy (Licence: PA 15601501) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2024-11-08 |