| NPI | 1871550392 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA GENGEL Chief Adminsitrative Officer 860-810-1361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CT 0270) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2020-02-05 |