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 |