| NPI | 1023535135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UBONG JACKSON UDOYEN Md 203-870-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 50553) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2022-07-21 |