| NPI | 1932401205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRZYSZTOF JAKUBOWSKI Owner 203-630-9722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: CT 036481) |
| Enumeration Date | 2010-11-18 |
| Last Update Date | 2010-11-18 |