| NPI | 1669674768 |
|---|---|
| Other Name | ALEXANDER GRENON CHIR |
| Entity Type | Organization |
| Authorized Contact | SANDY WAITKUS Office Manger 203-272-4513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2007-09-07 |