| NPI | 1962879932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SEARLES Member Manager 203-453-0416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CT 0346) |
| Enumeration Date | 2015-08-26 |
| Last Update Date | 2015-08-26 |