NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1811429582 | HAN | KENNETH | JUNGWOOK |   | 1290 SILAS DEANE HWY | WETHERSFIELD | CT | 061094337 |
1962022129 | ITO | BRANDON |   |   | 1290 SILAS DEANE HWY | WETHERSFIELD | CT | 061094337 |
1427670546 | KALINOWSKI | CHARLENE |   |   | 9 SCOTT LN | CROMWELL | CT | 064161264 |
1902992514 | MONTANYE | JUSTIN | TYRONE |   | 455 LEWIS AVE | MERIDEN | CT | 06451 |