| NPI | 1629383906 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET M BERKLEY Managing Member 203-687-9502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: CT 302F00000X) |
| Enumeration Date | 2010-08-11 |
| Last Update Date | 2010-08-11 |