NPI | 1720120199 |
---|---|
Entity Type | Organization |
Authorized Contact | LAURENCE ANTHONY KIRWAN President Owner 203-838-8844 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2007-02-13 |
Last Update Date | 2020-08-22 |