| NPI | 1558676973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL L BRIDGERS Owner 203-248-6200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: CT 23624) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2010-08-10 |