| NPI | 1902039936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM E. SWANSON Member 860-667-1815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MA 203565) |
| Enumeration Date | 2009-08-25 |
| Last Update Date | 2009-08-25 |