NPI | 1720400831 |
---|---|
Former Legal Business Name | THE SEX DOCTOR LLC |
Entity Type | Organization |
Authorized Contact | AMANDA PASCIUCCO Owner And Clinician 203-733-9600 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: CT 001556) |
Additional Taxonomies | 251S00000X |
Enumeration Date | 2014-01-08 |
Last Update Date | 2023-08-03 |