NPI | 1891826053 |
---|---|
Entity Type | Organization |
Authorized Contact | PO PRISCILLA XU Owner 203-324-7761 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CT 038587) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2011-08-26 |