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 |