| NPI | 1013122993 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT NELSON HYDE Member 203-736-9214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CT 023888) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CT 023888) |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2020-08-22 |