| NPI | 1679219349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY CAROLYN JOSEPH CEO 203-913-0661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2022-05-06 |
| Last Update Date | 2024-01-23 |