| NPI | 1942204797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY J SPRING Director Office Operations 860-274-1773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CT 00393) |
| Enumeration Date | 2005-06-09 |
| Last Update Date | 2018-09-12 |