| NPI | 1457793291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GREENWALD Owner 203-755-7748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CT 007481) |
| Enumeration Date | 2013-07-22 |
| Last Update Date | 2013-07-22 |