| NPI | 1093731291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE R ORELLANA President 203-729-6644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 035834) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: CT 035801) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2020-08-22 |