NPI | 1104868074 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT J. LEWIS Physician/Owner 203-874-1512 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
Enumeration Date | 2006-06-12 |
Last Update Date | 2020-08-22 |