| NPI | 1033316187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL WM ALLEN Owner 203-333-8857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics |
| 208000000X Pediatrics | |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2020-08-22 |