| NPI | 1942264619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN BAILEY Officer/Authorized Official 203-609-1168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: MD A1281) |
| Enumeration Date | 2006-04-12 |
| Last Update Date | 2025-04-03 |