| NPI | 1003005703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PIYUSH GUPTA Physician 203-931-0034 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry |
| Enumeration Date | 2007-10-18 |
| Last Update Date | 2024-04-03 |