| NPI | 1942480074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL DAVID STEIN Owner 860-232-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CT 027253) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2007-11-06 |