| NPI | 1104859172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH TIANO Executive Director 203-845-2160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2019-01-31 |