| NPI | 1609985654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE A DABDOUB Owner 860-889-4476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: CT 033578) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-03-20 |