| NPI | 1568733491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE CHEN Sole Member 203-705-2087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: CT 070403) |
| Enumeration Date | 2012-01-24 |
| Last Update Date | 2024-11-01 |