| NPI | 1629356431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW PATRICK RAYMOND Managing Member 860-628-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CT 000534) |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2011-07-27 |