| NPI | 1457382855 |
|---|---|
| Doing Business As | OLD LYME RADIOLOGY |
| Entity Type | Organization |
| Authorized Contact | MARY WALBY Office Manager 203-245-7351 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0206X Clinic/Center, Radiology, Mammography (Licence: CT 02643) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2008-07-18 |