| NPI | 1881932945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN CRAIG THORNQUIST Member/Manager 203-452-9723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: CT 031010) |
| Enumeration Date | 2013-01-24 |
| Last Update Date | 2013-01-24 |