| NPI | 1689812885 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TITO L. VASQUEZ Physician/Manager 203-292-8119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CT 046169) |
| Additional Taxonomies | 2086S0105X Surgery, Surgery of the Hand (Licence: CT 046169) |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2009-10-26 |