| NPI | 1952583718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD JEFFREY GRAYSON Owner 860-677-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: CT P313) |
| Enumeration Date | 2007-12-03 |
| Last Update Date | 2010-11-23 |