NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1316164858 | ORLANDO | SARAH |   |   | 28 CRESCENT ST | MIDDLETOWN | CT | 064573654 |
1366799587 | PAULSON | JESSICA | L |   | 28 CRESCENT ST | MIDDLETOWN | CT | 064573654 |
1518233931 | WALLACE | LEAH | GYNELL |   | 28 CRESCENT ST | MIDDLETOWN | CT | 064573654 |