NPI | 1124228960 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID WASSERSTEIN Physician 860-928-5864 |
Organization Subpart ? | No |
Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
Additional Taxonomies | 174400000X Specialist (Licence: CT 032853) |
207K00000X Allergy & Immunology | |
Enumeration Date | 2007-07-19 |
Last Update Date | 2014-02-20 |