| NPI | 1093145682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN BUSCHEMEYER President 203-641-5358 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: TX PA08078) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2013-11-18 |