| NPI | 1821081894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK A PINTO Controller 203-298-9091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology |
| Additional Taxonomies | 261QR0206X Clinic/Center, Radiology, Mammography |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2011-01-24 |