| NPI | 1104824978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA N.C. STACK President 203-699-9898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2005-07-14 |
| Last Update Date | 2022-07-21 |