| NPI | 1013270289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AWAIS MALIK Member 203-243-6018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine Emergency Medical Services (Licence: CT 049851) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: CT 049851) |
| 302R00000X Health Maintenance Organization | |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2013-01-14 |