| NPI | 1821107830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH ANN JACCARINO President/ Certified Mastectomy Fit 860-536-7858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: CT 7565484000) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-12-12 |