| NPI | 1952596579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLAWALE AYENI Physician/Owner 860-537-3204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: 041093) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2008-08-19 |