| NPI | 1457370447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS PETER ACAMPORA Administrator 860-529-0295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2025-04-04 |