| NPI | 1003611187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEISHELLE WALCOTT President 203-274-7426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services |
| Enumeration Date | 2025-02-13 |
| Last Update Date | 2025-04-08 |