| NPI | 1467623694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VITO JOSEPH DISIBIO President 860-583-3373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: CT 409097001) |
| Enumeration Date | 2008-03-15 |
| Last Update Date | 2008-05-02 |