NPI | 1942883764 |
---|---|
Entity Type | Organization |
Authorized Contact | LUCILLE FORMEISTER Dir. Bus Syst EMS 860-667-9542 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical |
Enumeration Date | 2021-04-29 |
Last Update Date | 2021-04-29 |