| NPI | 1922296110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD CORSELLO Owner/Doctor 203-381-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NI0900X Chiropractor, Internist (Licence: CT 001562) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2007-11-06 |