NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1427530575 | BACKSTROM | AMY | L |   | 1302 S MAIN ST | WATERBURY | CT | 067061748 |
1437360039 | BONACORSI | ANTHONY | OLIVER |   | 1302 S MAIN ST | WATERBURY | CT | 067061748 |
1467551119 | GAROFALO | HEATHER | A. |   | 1302 S MAIN ST | WATERBURY | CT | 067061748 |
1689159956 | JIMENEZ | KATHERINE | MICHELLE |   | 1309 S MAIN ST | WATERBURY | CT | 067061758 |