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 |