| NPI | 1669669073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER JU Physician 203-372-9002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CT 041401) |
| Enumeration Date | 2007-09-29 |
| Last Update Date | 2007-09-29 |