| NPI | 1063781094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SYLVESTER I OGBATA Owner 203-545-9119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RH0002X Internal Medicine, Hospice and Palliative Medicine | |
| Enumeration Date | 2011-12-20 |
| Last Update Date | 2021-09-23 |