| NPI | 1891158499 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH ANTONICO Physician 203-459-0191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care (Licence: CT 028415) |
| Enumeration Date | 2016-03-31 |
| Last Update Date | 2016-06-09 |