| NPI | 1053344473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS NODELMAN Office Manager 203-848-1803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2013-01-14 |