| NPI | 1871794008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW ERVIN WAKEFIELD Owner 860-246-1636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CT 037617) |
| Enumeration Date | 2007-05-28 |
| Last Update Date | 2020-08-22 |