| NPI | 1740424969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENWORTH ELLIS Managing Member 860-243-1864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QX0100X Clinic/Center, Occupational Medicine (Licence: CT 041803) |
| Enumeration Date | 2009-05-01 |
| Last Update Date | 2009-05-01 |