NPI | 1003353442 |
---|---|
Doing Business As | GARY BLICK MD |
Entity Type | Organization |
Authorized Contact | GARY BLICK Chief Medical Officer 203-345-0404 |
Organization Subpart ? | No |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: CT 027524) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 027524) |
Enumeration Date | 2017-01-24 |
Last Update Date | 2024-01-08 |