| NPI | 1093805079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY M BLOOMGARDEN President 203-781-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine |
| Additional Taxonomies | 207T00000X Neurological Surgery |
| 208100000X Physical Medicine & Rehabilitation | |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2020-08-22 |