NPI | 1679518047 |
---|---|
Entity Type | Organization |
Authorized Contact | TODD ALLEN BELL Director 860-286-9161 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT 0472) |
Additional Taxonomies | 213ES0131X Podiatrist Foot Surgery (Licence: CT 0472) |
Enumeration Date | 2006-06-18 |
Last Update Date | 2009-05-22 |