| NPI | 1548676877 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LYNN CAVO President 860-906-1289 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VB0002X Obstetrics & Gynecology, Bariatric Medicine |
| Enumeration Date | 2014-07-08 |
| Last Update Date | 2014-07-08 |