NPI | 1558753574 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS KELLY President 203-826-2600 |
Organization Subpart ? | No |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 208D00000X General Practice |
Enumeration Date | 2015-02-27 |
Last Update Date | 2024-06-03 |