| NPI | 1659565901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL M DIDOMIZIO Member/Manager 203-879-4695 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CT 525) |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2007-08-30 |