| NPI | 1093760431 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY DEE Owner 203-949-2700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363LF0000X Nurse Practitioner, Family | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2019-08-13 |