| NPI | 1588638688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON-PAUL VENOIT President & CEO 203-679-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CT 0075) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: CT 0075) |
| 261Q00000X Clinic/Center (Licence: CT 0075) | |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: CT 0075) | |
| Enumeration Date | 2006-02-15 |
| Last Update Date | 2019-11-05 |