| NPI | 1073059481 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY GERARD President 203-722-3900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CT 048064) |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2023-05-02 |