| NPI | 1538296231 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FERESHTEH FAYE AHMADIAN Owner 203-255-2340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CT 033474) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |