| NPI | 1932549953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN PATRICK CONNER Member 203-775-1819 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 133N00000X Nutritionist (Licence: CT 1485) |
| Enumeration Date | 2013-07-05 |
| Last Update Date | 2016-12-19 |