| NPI | 1710655477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMIE SIMAO COO/Executive Director 203-573-6434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 111N00000X Chiropractor |
| 207T00000X Neurological Surgery | |
| 208100000X Physical Medicine & Rehabilitation | |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2021-08-30 |