| NPI | 1699850289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFEREY M KIERSTEIN Physician / Owner 860-447-1488 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 213E00000X Podiatrist |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2013-06-06 |