| NPI | 1447597315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY MARTIN FACTOR Medical Director 860-916-0273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: CT 031434) |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2013-01-11 |