| 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 |