| NPI | 1770725384 |
|---|---|
| Doing Business As | BODYLOGICMD OF HARTFORD |
| Entity Type | Organization |
| Authorized Contact | ALICIA STANTON Director 800-959-2758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CT 033768) |
| Enumeration Date | 2009-03-27 |
| Last Update Date | 2009-03-27 |