363LX0001X
Bloomfield, CT
Specialty
363LX0001X
Credential
APRN
NPI
1700023603
580 Cottage Grove Rd, Bloomfield, CT 06002
(860) 242-2193Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 363lx0001x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 363LX0001X