| NPI | 1548591902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAM HAKIM-ZARGAR President 860-282-0833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: CT 044065) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: DC 044065) |
| Enumeration Date | 2010-01-26 |
| Last Update Date | 2013-07-16 |