| NPI | 1124798210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA SRODON Member 203-996-8125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2021-09-20 |