NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
1487910527 | CHAPPELL | COLLEEN | R |   | 28 CRESCENT ST | MIDDLETOWN | CT | 064573654 |
1033561758 | IACCARINO | MEGIN |   |   | 28 CRESCENT ST | MIDDLETOWN | CT | 064573654 |
1194760579 | KUNDRAT | GREGORY | J |   | 28 CRESCENT ST | MIDDLETOWN | CT | 064573654 |
1972780930 | OH | JEONG | EUN |   | 28 CRESCENT ST | MIDDLETOWN | CT | 064573654 |