| NPI | 1053195743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASHIF ALVI Owner/Provider 203-506-7786 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2023-08-23 |
| Last Update Date | 2025-06-05 |