| NPI | 1962775783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BROTHERS President 203-878-0666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CT 015509) |
| Enumeration Date | 2012-02-10 |
| Last Update Date | 2012-02-17 |