| NPI | 1083907919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR MARTIN Physician 203-675-6195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: CT 039467) |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2013-01-09 |