| NPI | 1922183268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALFREDO ARBULU Member Owner 860-745-1684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: CT 0039) |
| Additional Taxonomies | 208D00000X General Practice (Licence: CT 0039) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |