| NPI | 1659763522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH DAVID TARTAGNI President 203-931-3050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: CT 006676) |
| Additional Taxonomies | 261QD0000X Clinic/Center Dental (Licence: CT 006676) |
| 261QS1200X Clinic/Center Sleep Disorder Diagnostic (Licence: CT 006676) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 006676) | |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |