| NPI | 1780810820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REED CYPRIANO Operations Director 860-415-4532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP1100X Clinic/Center, Podiatric (Licence: CT application in proce) |
| Enumeration Date | 2009-06-03 |
| Last Update Date | 2009-06-03 |