| NPI | 1538967278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARGIS OHANYAN Medicare Director 203-535-0206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2025-03-07 |
| Last Update Date | 2025-10-05 |