| NPI | 1114928827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CONRAD KACZMAREK Md President 203-754-2535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology | |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2013-04-18 |