| NPI | 1982696480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDON PETER O'BRIEN Owner 203-488-0303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CT CSW.0001502) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2012-08-01 |