| NPI | 1689804882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESITA G MASCARDO President 203-431-0280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CT 0310) |
| Enumeration Date | 2009-07-22 |
| Last Update Date | 2009-07-22 |