| NPI | 1497253991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW R MEYERS Principle 203-913-0169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor Sports Physician (Licence: CT 1918) |
| Enumeration Date | 2018-01-30 |
| Last Update Date | 2024-06-25 |