| NPI | 1447995311 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN SHIEH Director, Business Systems 860-667-9542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2022-05-04 |
| Last Update Date | 2022-05-05 |