| NPI | 1700022654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL EDWARD JUAN Managing Partner 203-622-4301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: CT 032729) |
| Enumeration Date | 2008-12-24 |
| Last Update Date | 2008-12-24 |