| NPI | 1003186651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES LUDVIG HALASZ Physician/Owner 203-853-1874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: CT 004551) |
| Enumeration Date | 2012-01-12 |
| Last Update Date | 2012-01-12 |