| NPI | 1689894735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LANCE GERSTENFELD Manager 203-845-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CT 031959) |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2020-08-22 |